Provider Demographics
NPI:1700848868
Name:BERNES, SAUNDER M (MD)
Entity Type:Individual
Prefix:
First Name:SAUNDER
Middle Name:M
Last Name:BERNES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3200 E CAMELBACK RD
Mailing Address - Street 2:STE 250
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2327
Mailing Address - Country:US
Mailing Address - Phone:602-933-1814
Mailing Address - Fax:602-933-1820
Practice Address - Street 1:1919 E THOMAS RD
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7710
Practice Address - Country:US
Practice Address - Phone:602-933-0970
Practice Address - Fax:602-933-0469
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2019-03-29
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Provider Licenses
StateLicense IDTaxonomies
AZ162002084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B45756Medicare UPIN