Doctor Name: | DR. BERNARD BOND MCGINITY |
NPI Number: | 1083769061 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C25066 |
Business Practice Address: | 6945 Fair Oaks Blvd Suite 1 Carmichael, CA - 956083302 |
Business Phone Number: | 9164854556 |
Business Fax Number: | 9154851491 |
Mailing Address: | 6945 Fair Oaks Blvd, Suite 1 CARMICHAEL |
State: | CA |
Postal Code: | 956083302 |
Phone Number: | 9164854556 |
Fax Number: | 9154851491 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C25066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |