Provider Demographics
NPI:1841250073
Name:BEDNAR AND DEMERSSEMAN MEDICAL ASSOCIATES, INC
Entity type:Organization
Organization Name:BEDNAR AND DEMERSSEMAN MEDICAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEMERSSEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-323-9309
Mailing Address - Street 1:555 E TACHEVAH DR
Mailing Address - Street 2:SUITE 2W201
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5750
Mailing Address - Country:US
Mailing Address - Phone:760-323-9309
Mailing Address - Fax:760-325-8408
Practice Address - Street 1:555 E TACHEVAH DR
Practice Address - Street 2:SUITE 2W201
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5750
Practice Address - Country:US
Practice Address - Phone:760-323-9309
Practice Address - Fax:760-325-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty