Individual
BENJAMIN EVAN BLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE STE 180, CARMICHAEL, CA 95608-0303
(916) 536-2408
(916) 536-2465
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A125952
CA
Other
Enumeration date
03/26/2011
Last updated
03/13/2020
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