Bert E Park, MD

NPI #1407841851 in Independence, Missouri

Provider Information

NPI Number: 1407841851
Entity Type: Individual
Name: Bert E Park, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Neurological Surgery
Credential: MD
Enumeration Date: Sep 13, 2005
Last Updated: Aug 14, 2007

Practice Location

Address: 1515 W TRUMAN RD
Address 2: SUITE 607
City: Independence
State: Missouri
ZIP Code: 64050-3436
Phone: (816) 833-0466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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