Provider Demographics
NPI:1730200890
Name:DOMBROWSKI, JOHN JOSEPH (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:DOMBROWSKI
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:CENTER FOR RADIATION MEDICINE
Mailing Address - Street 2:3685 VISTA AVENUE
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-257-7000
Mailing Address - Fax:314-268-5106
Practice Address - Street 1:CENTER FOR RADIATION MEDICINE
Practice Address - Street 2:3685 VISTA AVENUE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-577-8815
Practice Address - Fax:314-268-5106
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-01-15
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Provider Licenses
StateLicense IDTaxonomies
IL036-1152662085R0001X
MO20070227202085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology