Individual
RUSSELL STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 928-2375
Mailing address
12475 LONE EAGLE DR, SPANISH FORT, AL 36527-5951
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS17047
FL
Other
Enumeration date
04/24/2016
Last updated
04/29/2022
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