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NPI Code Detail

MEDICARE: BERNARD G. MARISTANY M.D.

MEDICARE: BERNARD G. MARISTANY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianA94679CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396740999
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD G. MARISTANY M.D.
Provider Business Mailing Address
First Line : 2301 BAHAMAS DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0663
Country : US
Telephone Number : 661-395-3272
Fax Number : 661-334-3065
Provider Business Practice Location Address
First Line : 2301 BAHAMAS DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0663
Country : US
Telephone Number : 661-395-3272
Fax Number : 661-334-3065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/29/2010

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