Organization
ELMA Z BERNARDO MD AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELMA ZAPANTA BERNARDO M.D. (OWNER PSYCHIATRIST)
(304) 766-3470
Entity
Organization
Contact information
Practice address
401 DIVISION ST, SUITE 203, SOUTH CHARLESTON, WV 25309-1455
(304) 766-3470
(304) 766-3494
Mailing address
401 DIVISION ST, SUITE 203, SOUTH CHARLESTON, WV 25309-1455
(304) 766-3470
(304) 766-3494
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12394
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116974001
—
WV
01
—
1042627
WORKERS COMPENSATION
WV
01
—
15852889300
AVTAL OF OHIO
WV
01
—
CG8650
MEDICARE TYPE UNSPECIFIED
WV
Enumeration date
11/09/2006
Last updated
02/06/2008
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