Individual
DR. TARA G BERNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6521 SPANISH FORT BLVD, NEW ORLEANS, LA 70124-4321
(504) 283-7966
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.024892
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1135089
—
LA
Enumeration date
04/26/2006
Last updated
07/08/2007
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