Forest Park Neurology, Llc.

NPI #1376804898 in Independence, Missouri

Provider Information

NPI Number: 1376804898
Entity Type: Organization
Organization Name: Forest Park Neurology, Llc.
Primary Specialty: Specialist
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 3431 S STATE ROUTE 291
City: Independence
State: Missouri
ZIP Code: 64057-2341
Phone: (816) 600-1816

Authorized Official

Name: DR. MARIA LOURDES DONATO, M.D.
Title: OFFICE MANAGER
Phone: (816) 600-1816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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