MR. Robert Fred Vandeborne

NPI #1053864835 in Saint Louis, Missouri

Provider Information

NPI Number: 1053864835
Entity Type: Individual
Name: MR. Robert Fred Vandeborne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Enumeration Date: Jul 28, 2016
Last Updated: Jul 28, 2016

Practice Location

Address: 12647 OLIVE BLVD
Address 2: SUITE 600
City: Saint Louis
State: Missouri
ZIP Code: 63141-6393
Phone: (800) 325-3982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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