Individual
DR. BRENT CHRISTOPHER STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 LILE CT, SUITE 101, LITTLE ROCK, AR 72205-6242
(501) 225-7711
Mailing address
1 LILE CT, SUITE 101, LITTLE ROCK, AR 72205-6242
(501) 225-7711
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
E3430
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E3430
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164670001
—
AR
Enumeration date
10/27/2006
Last updated
07/21/2016
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