Individual
MARK STEVEN BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3109
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A66845
CA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
A66845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A668450
—
CA
01
—
360004327
RAILROAD MEDICARE PIN
—
Enumeration date
05/15/2006
Last updated
01/12/2018
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