Individual
ZACHARY RYAN STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(913) 758-6188
Mailing address
624 JEFFERSON ST, MARYVILLE, MO 64468-2507
(660) 215-0879
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
0000
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
KS
Enumeration date
01/19/2023
Last updated
01/19/2023
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