Individual
DR. BERNARD R CANLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6337 61ST ST W, UNIVERSITY PLACE, WA 98467-4935
(904) 608-1369
(904) 268-0409
Mailing address
PO BOX 64112, UNIVERSITY PLACE, WA 98464-0112
(904) 608-1369
(904) 268-0409
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME84394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050091271
RAILROAD MEDICARE
FL
01
—
51489
BCBS
FL
Enumeration date
09/20/2006
Last updated
02/24/2017
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