Individual
MR. BERNARD LEE PAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 BRACKENRIDGE RD, VINCENT, OH 45784-5028
(740) 350-8184
Mailing address
771 BRACKENRIDGE RD, VINCENT, OH 45784-5028
(740) 350-8184
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
WV001686
WV
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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