Jonathan Andrew Staser in Bloomington - Diagnostic Radiology

Jonathan Andrew Staser - NPI 1043339310

Jonathan Andrew Staser is a Diagnostic Radiology in Bloomington, Indiana. Jonathan Andrew Staser practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jonathan Andrew Staser is 1043339310. The last update date is 2013-07-26.

Jonathan Andrew Staser's current location address is Po Box 4366, Bloomington, Indiana. You can contact this provider via phone number 8123328242 and fax number 8123337684. The mailing address for Jonathan Andrew Staser is Po Box 4366, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Andrew Staser
Address Po Box 4366, Bloomington, Indiana
Phone Number 8123328242
Fax Number 8123337684
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043339310
Provider Enumeration Date 2007-03-28
Last Updated Date 2013-07-26

Provider Mailing Address Detail

Address Po Box 4366
City Bloomington
State Indiana (IN)
Post Code 474024366
Phone Number 8123328242
Fax Number 8123337684

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 01060288A
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50249 IA WELLMARK BCBS
200864320 IN --

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FAQs about Jonathan Andrew Staser

What is the unique 10-digit identification code issued to Jonathan Andrew Staser by the Centers for Medicare & Medicaid Services?

The Jonathan Andrew Staser has been assigned the NPI (National Provider Identifier) 1043339310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Jonathan Andrew Staser?

The Jonathan Andrew Staser is situated at Po Box 4366, in the city of Bloomington, state of IN, with the zip code 474024366.

What is Jonathan Andrew Staser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jonathan Andrew Staser is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

When did Jonathan Andrew Staser receive its 1043339310 assignment?

The Jonathan Andrew Staser was assigned its 1043339310 on 2007-03-28, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Jonathan Andrew Staser, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan Andrew Staser, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-26.

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