Individual
DR. BENNETT HARRIS PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
400 PARNASSUS AVE, ROOM A591, BOX 0359, SAN FRANCISCO, CA 94143-2202
(415) 353-2626
Mailing address
2315 STOCKTON BLVD # G101, SACRAMENTO, CA 95817-2201
(916) 734-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101621
CA
207RI0200X
Infectious Disease Physician
Primary
A101621
CA
Other
Enumeration date
12/03/2007
Last updated
06/30/2020
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