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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