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Contact Information

TIMOTHY J STANSBURY, R.T. (R)
915 N GRAND BLVD
SAINT LOUIS, MO63106-1621
 Phone: 314-652-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for TIMOTHY J STANSBURY · (Male)

NPI Number 1104001833
Status Active
Credentials R.T. (R)
Entity Individual
Enumeration date 12/31/2007
Last updated 12/31/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 376828
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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