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Individual

ALFRED C CARUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1004 CARONDELET DR, SUITE 410, KANSAS CITY, MO 64114-4802
(816) 389-6100
(816) 389-6150
Mailing address
PO BOX 872332, KANSAS CITY, MO 64187-2332
(816) 389-6100
(816) 389-6150

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
04-24867
KS
207RP1001X
Pulmonary Disease Physician
Primary
R8H50
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
R8H50
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100333270C
KS
01
14429021
BCBS OF KC
MO
05
1568549269
MO
05
208944900
MO
Enumeration date
11/01/2006
Last updated
04/01/2015
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