Individual
GARY D BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 E. CHAPMAN AVE, ORANGE, CA 92869
(714) 633-0011
Mailing address
1913 E 17TH ST STE 118, SANTA ANA, CA 92705-8627
(714) 547-3346
(714) 547-3252
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G40059
CA
Other
Enumeration date
10/05/2006
Last updated
05/23/2018
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