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1417967068
THEODORE L VANDER VELDE
SAINT LOUIS, MO
NPI
1417967068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 103886)
Enumeration Date
2006-08-08
Last Update Date
2024-04-25
Business Address
Dr. THEODORE L VANDER VELDE MD
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
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Mailing Address
Dr. THEODORE L VANDER VELDE MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-7200
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