NPI 1104001833

Timothy Jack Stansbury, RTR

Practitioner Radiography Radiologic Technologist Saint Louis, MO

Practice location

Address: 915 N Grand Blvd, Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Mailing address: 57 Pearl Dr, Hillsboro, MO 63050-5032

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 376828 (MO)

Other Radiologic Technologist providers in Missouri →

Registry record

NPI: 1104001833
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2007
Record last updated: 31 Dec 2007

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.