Provider Demographics
NPI:1528336690
Name:STAGGS, BRUCE E (DC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:E
Last Name:STAGGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 S. HOUGHTON ROAD
Mailing Address - Street 2:SUITE #130
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-4708
Mailing Address - Country:US
Mailing Address - Phone:520-574-3600
Mailing Address - Fax:520-574-3603
Practice Address - Street 1:8140 S. HOUGHTON ROAD
Practice Address - Street 2:SUITE #130
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:87547-4708
Practice Address - Country:US
Practice Address - Phone:520-574-3600
Practice Address - Fax:520-574-3603
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3195111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic