Provider Demographics
NPI:1427949908
Name:STAGG, STEVEN GEORGE
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GEORGE
Last Name:STAGG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E SHERIDAN AVE APT 2419
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-6738
Mailing Address - Country:US
Mailing Address - Phone:918-691-7230
Mailing Address - Fax:
Practice Address - Street 1:505 E SHERIDAN AVE APT 2419
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-6738
Practice Address - Country:US
Practice Address - Phone:918-691-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program