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Individual

BENJAMIN JEFFREY DIPARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2880
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2800

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A149959
CA
2086S0129X
Vascular Surgery Physician
Primary
A149959
CA

Other

Enumeration date
06/26/2013
Last updated
08/08/2024
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