Individual
DR. GERALD STAAB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4321 WASHINGTON ST, STE 1400, KANSAS CITY, MO 64111-5961
(816) 561-5858
Mailing address
11217 GRANADA LN, LEAWOOD, KS 66211-1770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-14242
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R6101
MO
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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