Provider Demographics
NPI:1821101841
Name:MCDERMOTT, BERNARD F (DO)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:F
Last Name:MCDERMOTT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1851 LOMBARD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-8230
Mailing Address - Country:US
Mailing Address - Phone:805-983-2234
Mailing Address - Fax:805-988-1941
Practice Address - Street 1:1851 LOMBARD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8230
Practice Address - Country:US
Practice Address - Phone:805-983-2234
Practice Address - Fax:805-988-1941
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine