Gerald Staab MD

NPI 1053388264 - Radiology - 2085R0202X

NPI Details
NPI 1053388264
Gender Male
Enumeration Date 03/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4321 WASHINGTON ST
STE 1400
KANSAS CITY MO, 64111-5961, US
Phone (816) 561-5858
Fax
Business Location
11217 GRANADA LN
LEAWOOD KS, 66211-1770, US
Phone
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Kansas
License Number 04-14242
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According to our database, Dr. Gerald Staab MD NPI is 1053388264, taxonomy code is 2085R0202X and license number is 04-14242, license state is located at Kansas. Gerald Staab MD physically located at 4321 Washington St, Kansas City MO, 64111-5961. NPI Number Gerald Staab MD has the Individual type.

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1053388264 NPI number is provided on an as is basis without warranty of any kind. 1053388264 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Staab MD are for informational purposes only.