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Individual

DR. JONATHAN MARK BERNHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, DIV PED ACADEMICS, STE 2D, SAINT LOUIS, MO 63110-1002
(314) 454-6300
(833) 969-0131
Mailing address
1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 63110-1002
(314) 454-6300
(833) 969-0131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2021027522
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200099068
MO
Enumeration date
07/12/2006
Last updated
11/15/2021
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