Individual
DR. BERTRAM CARUTHERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1734 E 63RD ST, STE 470, KANSAS CITY, MO 64110-5341
(816) 333-6555
(816) 333-6564
Mailing address
4048 N 110TH ST, KANSAS CITY, KS 66109-4488
(913) 721-1001
(913) 721-1012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R5307
MO
Other
Enumeration date
06/25/2005
Last updated
10/05/2007
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