Provider Demographics
NPI:1851778872
Name:BERNARD, PHILIP SETH (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:SETH
Last Name:BERNARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1855 E YALE AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1837
Mailing Address - Country:US
Mailing Address - Phone:801-581-5353
Mailing Address - Fax:801-581-7035
Practice Address - Street 1:1950 CIRCLE OF HOPE DR
Practice Address - Street 2:ROOM N3100, DEPT OF PATHOLOGY
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5500
Practice Address - Country:US
Practice Address - Phone:801-581-2507
Practice Address - Fax:801-581-7035
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT4885825-1205207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology