Bert Park, MD

NPI 1407841851 · on the registry since 2005

Practice

Address: 1515 W Truman Rd
Suite 607
Independence, MO 64050
Phone: (816) 833-0466
Fax: (816) 833-4155
Organisation at this address: Independence Anesthesia Inc
Independence Neurosurgery Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207T00000X
207T00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri