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Individual

ROBERT STRADLING BENNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLZ, #214, LOS ANGELES, CA 90095-0001
(310) 825-6078
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-1803

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G43157
CA
2086X0206X
Surgical Oncology Physician
Primary
G43157
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G431570
CA
Enumeration date
07/25/2006
Last updated
10/19/2012
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