Individual
DR. CALVIN BOYD BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3031 TELEGRAPH AVE, SUITE 217, BERKELEY, CA 94705-2053
(510) 981-8222
(510) 568-8848
Mailing address
PO BOX 3669, SANTA ROSA, CA 95402-3669
(707) 535-4330
(707) 535-4311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C34382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C343820
—
CA
Enumeration date
01/16/2007
Last updated
09/09/2009
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