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NPI Code Detail

MEDICARE: ADONIS ENRIQUE BERNARDO MD

MEDICARE: ADONIS ENRIQUE BERNARDO MD
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
12083X0100XOccupational Medicine Physician2002006267MO

General Provider Information

NPI Number : 1528247970
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADONIS ENRIQUE BERNARDO MD
Provider Business Mailing Address
First Line : 123 SMITH AVE
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5239
Country : US
Telephone Number : 573-471-0200
Fax Number : 573-471-7559
Provider Business Practice Location Address
First Line : 123 SMITH AVE
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5239
Country : US
Telephone Number : 573-471-0200
Fax Number : 573-471-7559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2007
Last Update Date : 01/19/2016

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Directions to “ ADONIS ENRIQUE BERNARDO MD” Practice Location

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