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Individual

DR. CHRISTOPHER D BENCOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 NORTH BRIDGE STREET, VISALIA, CA 93291-5034
(559) 734-1939
(559) 727-4782
Mailing address
305 EAST CENTER AVE., VISALIA, CA 93291-6331
(559) 737-4700
(559) 781-8193

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A60404
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A604040
CA
05
OOA604040
CA
Enumeration date
07/14/2006
Last updated
07/30/2013
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