Organization
J. RONALD ANDERSSEN
Active
Other names
Anderssen Mobile X-Ray Service
Organization subpart
No
Provider details
NPI number
Authorized official
J. RONALD ANDERSSEN R.T. (OWNER)
(636) 227-6878
Entity
Organization
Contact information
Practice address
14824 CLAYTON RD, SUITE 21, CHESTERFIELD, MO 63017-7888
(636) 227-6878
(636) 227-7822
Mailing address
14824 CLAYTON RD, SUITE 21, CHESTERFIELD, MO 63017-7888
(636) 227-6878
(636) 227-7822
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711752105
—
MO
Enumeration date
09/27/2007
Last updated
12/08/2008
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