Individual
LUKE BENJAMIN SIMONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7205
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7205
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01054923A
IN
2085R0202X
Diagnostic Radiology Physician
239999
MA
2085R0202X
Diagnostic Radiology Physician
Primary
C129444
CA
Other
Enumeration date
05/26/2006
Last updated
06/13/2019
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