Individual
DR. SHAWN ROBERT BENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 FROST ST, SUITE 450, SAN DIEGO, CA 92123-2771
(858) 565-0104
Mailing address
7910 FROST ST, SUITE 450, SAN DIEGO, CA 92123-2771
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A108975
CA
Other
Enumeration date
11/30/2009
Last updated
04/19/2011
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