NPI 1053864835

Robert Fred Vandeborne

Practitioner Radiologic Technologist Saint Louis, MO

Practice location

Address: 12647 Olive Blvd Suite 600, Saint Louis, MO 63141-6393
Phone: (800) 325-3982
Fax: (877) 685-9880

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X

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Registry record

NPI: 1053864835
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2016
Record last updated: 28 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.