Individual
JAMES W BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 W 12TH ST, CARUTHERSVILLE, MO 63830-1890
(573) 333-1782
(573) 333-4665
Mailing address
PO BOX 201, CARUTHERSVILLE, MO 63830-0201
(573) 333-1782
(573) 333-4665
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
R2470
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063501
—
MO
Enumeration date
08/24/2006
Last updated
04/13/2015
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