IndividualActive
J. Anderssen, R.T.
NPI 1619961679 · Radiologic Technologist · Chesterfield, MO
Provider details
- NPI number
- 1619961679
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- NOT REQUIRED IN MO (MO)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
14824 Clayton Rd
Suite 21
Chesterfield, MO 63017-7888
Phone: (636) 227-6878
Fax: (636) 227-7822
Approximate (ZIP-level) locationGet directions
Mailing address
14824 Clayton Rd
Chesterfield, MO 63017-7888
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2007-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.