Individual
DR. RICHARD VAN TRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2107
(816) 932-2843
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(913) 392-2107
(913) 932-2843
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014018339
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038183
—
MO
Enumeration date
04/02/2014
Last updated
12/23/2020
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