Individual
MS. JILL STEPHANIE STAGG I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2310 PEGER RD STE 101, FAIRBANKS, AK 99709-5305
(907) 457-7678
(907) 457-7677
Mailing address
2310 PEGER RD STE 101, FAIRBANKS, AK 99709-5305
(907) 457-7678
(907) 457-7677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1388
AK
Other
Enumeration date
05/15/2007
Last updated
06/20/2012
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