Individual
JOE D STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 782-4470
(479) 782-6131
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C4532
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251310C
—
OK
05
—
105773001
—
AR
Enumeration date
10/04/2005
Last updated
08/13/2010
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