Individual
DR. WILLIAM BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6199
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101235138
VA
207RI0011X
Interventional Cardiology Physician
Primary
A103271
CA
Other
Enumeration date
01/30/2006
Last updated
10/17/2022
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