Individual
DR. BENJAMIN FRANKLIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(800) 883-7243
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G49521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G495210
—
CA
01
—
P00480317
RAILROAD MEDICARE
CA
Enumeration date
02/15/2007
Last updated
12/16/2008
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