NPI 1407841851

Bert E Park, MD

Practitioner Neurological Surgery Physician Independence, MO

Practice location

Address: 1515 W Truman Rd Suite 607, Independence, MO 64050-3436
Phone: (816) 833-0466
Fax: (816) 833-4155

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence R7A63 (MO)

Other Neurological Surgery providers in Missouri →

Registry record

NPI: 1407841851
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2005
Record last updated: 14 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.