Individual
BENJAMIN HAVKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-7599
Mailing address
3288 5TH AVE APT 512, SAN DIEGO, CA 92103-5754
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS018953
PA
Other
Enumeration date
06/20/2016
Last updated
08/10/2023
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