TIMOTHY JACK STANSBURY

SAINT LOUIS, MO
NPI1104001833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2471C3402X Radiologic Technologist, Radiography
(Licence: MO  376828)
Enumeration Date2007-12-31
Last Update Date2007-12-31
Business Address
Mr. TIMOTHY JACK STANSBURY R.T. (R)
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
Mailing Address
Mr. TIMOTHY JACK STANSBURY R.T. (R)
57 PEARL DR
HILLSBORO, MO 63050-5032
Phone number: 636-797-5983