Provider Demographics
NPI:1265583421
Name:STAGG, FRANCIS J (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:STAGG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 E POTAWATAMI DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3236
Mailing Address - Country:US
Mailing Address - Phone:520-298-5715
Mailing Address - Fax:
Practice Address - Street 1:3402 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5406
Practice Address - Country:US
Practice Address - Phone:520-881-0050
Practice Address - Fax:520-795-8815
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ274342083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ120952Medicare PIN
GAG77237Medicare UPIN
AZZ126173Medicare UPIN
AZZ126048Medicare PIN
GA84BBBFQMedicare ID - Type Unspecified