Individual
JARED THOMAS STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
KANSAS UNIVERSITY MEDICAL CTR, 3901 RAINBOW BLVD MS 1034, KANSAS CITY, KS 66160-0001
(913) 588-3304
(913) 588-3365
Mailing address
KANSAS UNIVERSITY MEDICAL CTR, 3901 RAINBOW BLVD MS 1034, KANSAS CITY, KS 66160-0001
(913) 588-3304
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
94-07634
KS
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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