Individual
DR. ALAN D. FORKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 WORNALL RD, SUITE 65, KANSAS CITY, MO 64111-5941
(816) 932-6100
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R7N63
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629281977
—
MO
Enumeration date
05/07/2007
Last updated
03/21/2012
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