Individual
MR. ROBERT FRED VANDEBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(800) 325-3982
(877) 685-9880
Mailing address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(800) 325-3982
(877) 685-9880
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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