Individual provider · Type 1 NPI

Samuel Bernard, DPM

Foot & Ankle Surgery Podiatrist · Waterloo, IA

NPI number 1265094239 Active

Practice location

3421 W 9th St
Waterloo, IA 50702-5401

Mailing address

949 Fletcher Ave
Waterloo, IA 50701-3043

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X097054 (IA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1265094239

Samuel Bernard, DPM's National Provider Identifier is 1265094239, issued on Jul 1, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waterloo, IA. The record was last updated on Jul 1, 2019.