Individual
DR. PAUL BERNABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 392-5654
(573) 392-5692
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
118151
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204005417
—
MO
01
—
P00232368
RAILROAD MEDICARE
MO
Enumeration date
07/20/2005
Last updated
05/05/2008
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