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Individual

RICHARD D STAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 S FILBERT ST, MECHANICSBURG, PA 17055-6539
(717) 795-6656
(717) 795-6658
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD046637L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016074660006
PA
05
0016074660007
PA
01
151885
UNISON
PA
01
1533511
GATEWAY
PA
01
30024886
KEYSTONE MERCY
PA
01
50033281
CAPITAL BC
PA
01
84931
GEISINGER
PA
01
HIGHMARK BS
000480988
PA
Enumeration date
04/13/2006
Last updated
05/07/2009
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