Individual
DR. BRENT JASON BENSCOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171
Mailing address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 736-3350
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125053418
IL
207YX0901X
Otology & Neurotology Physician
01073373A
IN
207YX0901X
Otology & Neurotology Physician
4301099963
MI
207YX0901X
Otology & Neurotology Physician
Primary
A150679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201230760
—
IN
Enumeration date
06/12/2008
Last updated
05/07/2020
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