Provider profile

Individual

Tyler Jacob Fraum

Radiology in Saint Louis, MO. NPI 1235492281, listed in the CMS NPI Registry since 06/24/2012. Bills Medicare.

NPI 1235492281Specialty RadiologyEnumerated 06/24/2012
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Registry and Medicare facts

Practice location
510 S Kingshighway Blvd, Saint Louis, MO 63110
CMS NPI Registry
Phone
(314) 362-7200
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/24/2012
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
1,326 Part B
CMS Medicare 2024

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