Individual
CRAIG STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N SISTER CATHERINE WAY, NAMPA, ID 83687-3133
(208) 302-7640
(208) 302-7625
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
DR37193
CO
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
M-16854
ID
Other
Enumeration date
05/18/2007
Last updated
10/31/2022
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