Individual
MR. ROBERT L BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1700 E 1ST STREET, GRANITE, OK 73547
(580) 480-3715
Mailing address
901 E 1ST ST, GRANITE, OK 73547-9334
(580) 535-4670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
482
OK
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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