Stephen Haggard
Foot Surgery Primary Podiatric Medicine
210 27th Ave Apt F105
Milton
, Washington 98354-8330
Stephen Haggard
Foot Surgery Primary Podiatric Medicine
210 27th Ave Apt F105
Milton
, Washington 98354-8330
(253) 815-1651
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Stephen Haggard
- Po Box 506
- Milton, WA
- Zip : 98354-0506
- Fax : (253) 815-1651
- Phone : (253) 661-5686
Second Address
- Stephen Haggard
- 210 27th Ave Apt F105
- Milton, WA
- Zip : 98354-8330
- Fax : (253) 815-1651
- Phone : (253) 334-5262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | PO00000399 | WA |
| N | 213ES0131X | Foot Surgery | PO00000399 | WA |
National Provider Identifier
| NPI | 1134154032 |
|---|---|
| Provider Name | Stephen Haggard |
| First Address | Milton, WA 98354-0506 |
| Second Address | Milton, WA 98354-8330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 22/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G1000106734 | PTAN (01) | WA |
| TO1981 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.