Individual
JACK STADDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3243 E MURDOCK ST STE 510, WICHITA, KS 67208-3007
(316) 962-3928
(316) 962-3930
Mailing address
3243 E MURDOCK ST STE 510, WICHITA, KS 67208-3007
(316) 962-3928
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
04-45815
KS
Other
Enumeration date
07/15/2007
Last updated
08/26/2022
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