person
Dr. Jean William Bardenheier, MD
General Practice Physician in Azusa, California
NPI 1780620138

Jean William Bardenheier is a General Practice Physician based in Azusa, CA. Jean William Bardenheier practices in Azusa, CA and has the professional credentials of MD. The NPI Number for Jean William Bardenheier is 1780620138 and holds a License No. G26965 (California).

The current practice location address for Jean William Bardenheier is 914 E Gladstone St, Azusa, CA and can be reached out via phone at 626-966-4506 and via fax at 626-967-4448.

Location: 914 E Gladstone St, Azusa, CA, 91702-4747
person
Provider Profile Details
NPI Number
1780620138
Provider Name
Jean William Bardenheier
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
914 E Gladstone St, Azusa, CA, 91702-4747
Phone Number
626-966-4506
Fax Number
626-967-4448
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
914 E Gladstone St
City
State
Zip
91702-4747
Phone Number
626-966-4506
Fax Number
626-967-4448
person
Provider Business Mailing Address Details
Address
914 E Gladstone St
City
State
Zip
91702-4747
Phone Number
626-966-4506
Fax Number
626-967-4448
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G26965 (California)
Definition
Definition to come...
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