Individual
PETER D BEKENDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N 13TH AVE, UPLAND, CA 91786-4904
(909) 982-8846
Mailing address
555 N 13TH AVE, UPLAND, CA 91786-4904
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A95411
CA
Other
Enumeration date
02/06/2008
Last updated
08/31/2017
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