Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Robert Fred Vandeborne

Individual provider Radiologic Technologist · NPI 1053864835

Mr. Robert Fred Vandeborne is a Radiologic Technologist in Saint Louis, Missouri. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6393
Phone: (800) 325-3982
Fax: (877) 685-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X

Record details

NPI number1053864835
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2016
Last updated in NPPESJuly 28, 2016

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