Individual
MRS. STACIA B KAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3035 S ELLSWORTH RD, SUITE 103, MESA, AZ 85212-2136
(480) 736-1777
(480) 736-1144
Mailing address
3035 S ELLSWORTH RD, SUITE 103, MESA, AZ 85212-2136
(480) 736-1777
(480) 736-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4129
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210593
—
AZ
Enumeration date
06/09/2006
Last updated
07/19/2011
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