Provider Demographics
NPI:1922268770
Name:STAGGS, DANA THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:THOMAS
Last Name:STAGGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 S HOUGHTON RD STE 130
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-4708
Mailing Address - Country:US
Mailing Address - Phone:520-574-3600
Mailing Address - Fax:520-574-3603
Practice Address - Street 1:8140 S HOUGHTON RD STE 130
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-4708
Practice Address - Country:US
Practice Address - Phone:520-574-3600
Practice Address - Fax:520-574-3603
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4827111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor