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1174978415
RUSSELL STAGGS
FAIRHOPE, AL
NPI
1174978415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL OS17047)
Enumeration Date
2016-04-24
Last Update Date
2022-04-29
Business Address
RUSSELL STAGGS D.O.
750 MORPHY AVE
FAIRHOPE, AL 36532-1812
Phone number: 251-928-2375
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Mailing Address
RUSSELL STAGGS D.O.
12475 LONE EAGLE DR
SPANISH FORT, AL 36527-5951
Phone number:
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