Jack Staddon in Wichita - Pediatric Hematology-oncology

Jack Staddon - NPI 1952500415

Jack Staddon is a Pediatric Hematology-oncology in Wichita, Kansas. Jack Staddon practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Jack Staddon is 1952500415. The last update date is 2022-08-26.

Jack Staddon's current location address is 3243 E Murdock St Ste 510, Wichita, Kansas. You can contact this provider via phone number 3169623928. The mailing address for Jack Staddon is 3243 E Murdock St Ste 510, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Staddon
Address 3243 E Murdock St Ste 510, Wichita, Kansas
Phone Number 3169623928
Fax Number
Sole Proprietor N
Credentials M.D., PH.D

NPI Number Detail

NPI Number 1952500415
Provider Enumeration Date 2007-07-15
Last Updated Date 2022-08-26

Provider Mailing Address Detail

Address 3243 E Murdock St Ste 510
City Wichita
State Kansas (KS)
Post Code 672083007
Phone Number 3169623928
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Hematology-oncology
Taxonomy 2080P0207X
Licence No 04-45815
Definition:
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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FAQs about Jack Staddon

What is the unique identifier code issued to Jack Staddon by the Centers for Medicare & Medicaid Services?

The Jack Staddon has been assigned the NPI (National Provider Identifier) 1952500415. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jack Staddon's facilities are situated?

The facilities of Jack Staddon are physically located at the following address: 3243 E Murdock St Ste 510, Wichita, KS, 672083007.

What is Jack Staddon's area of expertise and its corresponding taxonomy classification?

The Jack Staddon's field of specialization is Pediatric Hematology-oncology, and it falls under the taxonomy code 2080P0207X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jack Staddon receive its 1952500415 assignment from the Centers for Medicare & Medicaid Services?

The Jack Staddon was assigned its 1952500415 by the Centers for Medicare & Medicaid Services on 2007-07-15.

When was the information regarding Jack Staddon most recently updated?

The details pertaining to the Jack Staddon, including its address, specialty, and other relevant information, were last refreshed on 2022-08-26.

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