Individual
DR. BENJAMIN GODFREY DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 PESETAS LN, SANSUM CLINIC, SANTA BARBARA, CA 93110-1416
(805) 681-7500
Mailing address
215 PESETAS LN, SANSUM CLINIC, SANTA BARBARA, CA 93110-1416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A104111
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
09/15/2009
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