Individual
BERNARD DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-8327
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61142855
WA
390200000X
Student in an Organized Health Care Education/Training Program
0922020
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
11/28/2016
Last updated
07/15/2021
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