Individual
JAY KENNETH BENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1580 VALENCIA ST, SUITE #804, SAN FRANCISCO, CA 94110-4412
(415) 392-5626
(415) 392-5632
Mailing address
1580 VALENCIA ST, SUITE #804, SAN FRANCISCO, CA 94110-4412
(415) 392-5626
(415) 392-5632
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2434
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE000320
—
CA
Enumeration date
11/20/2006
Last updated
03/18/2008
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