Individual
BERTRAM W MAIDMENT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6601 WINCHESTER AVE STE 230, KANSAS CITY, MO 64133-4681
(816) 313-2677
(816) 313-6000
Mailing address
6601 WINCHESTER AVE STE 230, KANSAS CITY, MO 64133-4681
(816) 313-2677
(816) 313-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
04-39979
KS
2085R0001X
Radiation Oncology Physician
Primary
2017014181
MO
Other
Enumeration date
05/04/2012
Last updated
07/21/2022
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