Individual
ERICA CHRISTINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3084
(925) 239-2900
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2004-0708
NM
207Y00000X
Otolaryngology Physician
Primary
A55835
CA
Other
Enumeration date
08/01/2006
Last updated
01/03/2025
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