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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT FRED VANDEBORNE

Active

MR. ROBERT FRED VANDEBORNE is a Radiologic Technologist healthcare provider located in SAINT LOUIS, Missouri. NPI 1053864835 is currently active in the NPPES registry. Verify at CMS.

Radiologic Technologist · SAINT LOUIS, MO

Registration Details

NPI Number
1053864835
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2016 (9.8584660894905 yrs)
Last Updated
Jul 28, 2016

Practice Information

Address
12647 OLIVE BLVD
SUITE 600
SAINT LOUIS, MO, 631416393
Browse MO providers · Browse ZIP 63141
Phone
8003253982
Fax
8776859880
Primary Specialty
Radiologic Technologist
247100000X

Other Radiologic Technologist Providers in SAINT LOUIS, MO

Name Credential NPI
LINDA KAY GODDARD 1689855421
MS. MARY ELLEN ASH RT(R) 1164661179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.