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NPI Code Detail

MEDICARE: DR. AHMAD RASHAD STAGG DPT

MEDICARE:  DR. AHMAD RASHAD STAGG  DPT
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
1225100000XPhysical Therapist2305204333VA

General Provider Information

NPI Number : 1922213016
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMAD RASHAD STAGG DPT
Provider Business Mailing Address
First Line : 5937 CLEARSPRING CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4901
Country : US
Telephone Number : 757-450-4627
Fax Number :
Provider Business Practice Location Address
First Line : 5937 CLEARSPRING CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4901
Country : US
Telephone Number : 757-450-4627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. AHMAD RASHAD STAGG DPT” Practice Location

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