Individual
MERCEDEZ BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 649-1263
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 699-6590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0096R
OK
Other
Enumeration date
06/30/2015
Last updated
01/05/2016
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