Individual provider · Type 1 NPI

Tyler Jacob Fraum, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1235492281 Active

Practice location

510 S Kingshighway Blvd, Dept Radiology
St. Louis, MO 63110-1016

Call (314) 362-7200 Map

Fax (314) 747-4189

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2017005254 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1235492281

Tyler Jacob Fraum, MD's National Provider Identifier is 1235492281, issued on Jun 24, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.