Organization
BERTRAM CARUTHERS JR MD PA
Active
Organization
BERTRAM CARUTHERS JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAM CARUTHERS JR. M.D. (PRESIDENT)
(816) 333-6555
Entity
Organization
Contact information
Practice address
1734 E 63RD ST, SUITE 470, KANSAS CITY, MO 64110-3543
(816) 333-6555
(816) 333-6564
Mailing address
1734 E 63RD ST, SUITE 470, KANSAS CITY, MO 64110-3543
(816) 333-6555
(816) 333-6564
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R5307
MO
Other
Enumeration date
05/25/2007
Last updated
03/12/2013
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