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Individual

DR. ROBERT DALE BERNAUER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4345 NELSON RD, LAKE CHARLES, LA 70605
(337) 480-7900
(337) 480-7901
Mailing address
2825 COUNTRY CLUB RD STE 1, LAKE CHARLES, LA 70605-5915
(337) 444-5867

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
GETP.200984
LA
207Q00000X
Family Medicine Physician
Primary
MD207933
LA
208600000X
Surgery Physician
MD207933
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2198998
LA
Enumeration date
03/21/2012
Last updated
02/07/2025
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