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Individual

DR. BERNARD JOHN PALMA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5815 WESTBOURNE AVE, COLUMBUS, OH 43213-1459
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.006190
OH
208D00000X
General Practice Physician
Primary
34.006190
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2020879
OH
Enumeration date
06/20/2006
Last updated
12/28/2021
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