Individual
MR. TIMOTHY JOSEPH D'AGOSTINO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6314
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6314
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
06 MO 1188
MO
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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