Russell Stagg, CRNA | |
100 Pmc Dr, Meeker, CO 81641-3181 | |
(970) 878-9740 | |
Not Available |
Full Name | Russell Stagg |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Pmc Dr, Meeker, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720356496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 6154226-3102 (Utah) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2012001556 (Missouri) | Primary |
Entity Name | Eastern Rio Blanco County Health Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902900269 PECOS PAC ID: 0345249751 Enrollment ID: O20070314000258 |
Entity Name | Ecgj Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609120070 PECOS PAC ID: 9133364466 Enrollment ID: O20130314000349 |
Entity Name | Cpr Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20150204000699 |
Entity Name | Amel Med, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356894059 PECOS PAC ID: 9537455845 Enrollment ID: O20160913002729 |
Entity Name | Arlington Anesthesia Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023483153 PECOS PAC ID: 2860798303 Enrollment ID: O20170823002989 |
Mailing Address | Practice Location Address |
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Russell Stagg, CRNA Po Box 2541, Meeker, CO 81641-2541 Ph: (801) 803-3106 | Russell Stagg, CRNA 100 Pmc Dr, Meeker, CO 81641-3181 Ph: (970) 878-9740 |