Individual
KEVIN JAMES STAGGENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 595-9666
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A164826
CA
Other
Enumeration date
03/20/2018
Last updated
09/24/2023
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