Individual
JARED A STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
100 MERCY WAY, SUITE 420, JOPLIN, MO 64804-4524
(417) 556-2278
(417) 556-2277
Mailing address
100 MERCY WAY, SUITE 420, JOPLIN, MO 64804-4524
(417) 556-2278
(417) 556-2277
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2016021074
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002415
MI
Other
Enumeration date
05/11/2011
Last updated
07/13/2016
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