Individual
MICHAEL JAMES STAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 CAPRI BLVD STE 102, LAKE HAVASU CITY, AZ 86403-5661
(928) 855-9477
(928) 855-2983
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24627
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359788
—
AZ
Enumeration date
11/07/2005
Last updated
05/21/2020
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