Individual provider · Type 1 NPI
Jonathan Andrew Staser, MD
Diagnostic Radiology Physician · Bloomington, IN
NPI number
1043339310
Active
Practice location
429 S Landmark Avenue
Bloomington, IN 47403-5003
Fax (812) 333-7684
Mailing address
PO Box 4366
Bloomington, IN 47402-4366
Other practice locations
- 1100 Reid Pkwy, Richmond, IN 47374-1157 · (765) 983-3264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 01060288A (IN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1043339310
Jonathan Andrew Staser, MD's National Provider Identifier is 1043339310, issued on Mar 28, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Bloomington, IN. The record was last updated on Sep 17, 2026.