Individual
DR. JONATHON ROBERT STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 550-4740
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012017469
MO
207X00000X
Orthopaedic Surgery Physician
Primary
A146875
CA
Other
Enumeration date
06/21/2012
Last updated
11/15/2024
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