Individual
CORWIN BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(480) 600-0948
Mailing address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
VA
Other
Enumeration date
04/01/2025
Last updated
08/04/2025
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