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Mr. Timothy Jack Stansbury, RT(R)
Radiography Radiologic Technologist in Saint Louis, Missouri
NPI 1104001833

Timothy Jack Stansbury is a Radiography Radiologic Technologist based in Hillsboro, MO and is specialized in Radiography. Timothy Jack Stansbury practices in Saint Louis, MO and has the professional credentials of RT(R). The NPI Number for Timothy Jack Stansbury is 1104001833 and holds a License No. 376828 (Missouri).

The current practice location address for Timothy Jack Stansbury is 915 N Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-652-4100.

Location: 915 N Grand Blvd, Saint Louis, MO, 63050-5032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104001833
Provider Name
Timothy Jack Stansbury
Credential
RT(R)
Provider Entity Type
Individual
Gender
Male
Address
915 N Grand Blvd, Saint Louis, MO, 63050-5032
Phone Number
314-652-4100
Fax Number
Provider Enumeration Date
12/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
915 N Grand Blvd
City
Saint Louis
State
Missouri
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider Business Mailing Address Details
Address
915 N Grand Blvd
City
Saint Louis
State
Missouri
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
376828 (Missouri)
Definition
Definition to come...
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