Individual
DR. RENALD M. BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23450
IA
2086S0129X
Vascular Surgery Physician
Primary
23450
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206623
—
IA
Enumeration date
10/04/2005
Last updated
07/30/2012
Update your record
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