Individual
DR. JOHN A SPERTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 WORNALL RD, SUITE 65, KANSAS CITY, MO 64111-5941
(816) 932-6100
(816) 461-6586
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
111506
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100192820B
—
KS
05
—
208478313
—
MO
Enumeration date
07/20/2005
Last updated
11/16/2017
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