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NPI Code Detail

MEDICARE: MR. MARSHALL PATRICK STAGG II MD

MEDICARE: MR. MARSHALL PATRICK STAGG II MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician019154LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841281573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARSHALL PATRICK STAGG II MD
Provider Business Mailing Address
First Line : 8585 PICARDY AVE
Second Line : SUITE 312
City : BATON ROUGE
State : LA
Zip : 70809-3748
Country : US
Telephone Number : 225-341-8311
Fax Number : 844-800-1476
Provider Business Practice Location Address
First Line : 8585 PICARDY AVE
Second Line : SUITE 312
City : BATON ROUGE
State : LA
Zip : 70809-3748
Country : US
Telephone Number : 225-341-8311
Fax Number : 844-800-1476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 04/07/2022

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