Stephen D Haggard DPM PS

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PO00000399 Issued in WA

Legal business name

STEPHEN D HAGGARD DPM PS

Practice address

34616 11TH PL S Ste 1
Federal Way, WA 98003-8705

Phone

(253) 661-5686

Fax

(253) 815-1651

NPI assigned

Mar 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Haggard, DPM

Title

President

Phone

(253) 661-5686

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1861716029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34616 11TH PL S STE 1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038705",
            "telephone_number": "253-661-5686",
            "fax_number": "253-815-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34616 11TH PL S STE 1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038705",
            "telephone_number": "253-661-5686",
            "fax_number": "253-815-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D HAGGARD DPM PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "HAGGARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-661-5686",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PO00000399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.