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Organization
TABLE MOUNTAIN RANCHERIA MEDICAL CENTER
Active
Organization
TABLE MOUNTAIN RANCHERIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN O BENCK MD (MEDICAL DIRECTOR)
(559) 822-3785
Entity
Organization
Contact information
Practice address
23638 SKY HARBOUR RD, FRIANT, CA 93626-0410
(559) 822-3785
(559) 822-2928
Mailing address
PO BOX 410, FRIANT, CA 93626-0410
(559) 822-3785
(559) 822-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G42148
CA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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