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Individual

DR. BROCK DARYL BERNSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8500
(541) 222-6435
Mailing address
PO BOX 748636, LOS ANGELES, CA 90074-1522
(877) 202-3597
(360) 729-1774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD190026
OR
2080A0000X
Pediatric Adolescent Medicine Physician
C37164
CA

Other

Enumeration date
08/13/2006
Last updated
07/15/2021
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