Organization
GARY S BERNARD DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY S BERNARD D.O. (OWNER/PHYSICIAN)
(760) 347-6004
Entity
Organization
Contact information
Practice address
81767 DR CARREON BLVD, SUITE 102, INDIO, CA 92201
(760) 347-6004
(760) 347-6775
Mailing address
81767 DR CARREON BLVD, SUITE 102, INDIO, CA 92201
(760) 347-6004
(760) 347-6775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A8186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX81860
—
CA
Enumeration date
04/28/2008
Last updated
04/28/2008
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