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Individual

DR. GARY ROBERT BENCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7930 FROST ST, SUITE 101, SAN DIEGO, CA 92123-2737
(858) 565-0104
(858) 565-0194
Mailing address
7930 FROST ST, SUITE 101, SAN DIEGO, CA 92123-2737
(858) 565-0104
(858) 565-0194

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A035873
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A358730
CA
Enumeration date
03/15/2006
Last updated
07/08/2007
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