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Individual

DAVID BENNAHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
WESTSIDE FAMILY / SENIOR HEALTH CENTER, 4808 MC MAHON BLVD., ALBUQUERQUE, NM 87114
(505) 272-1754
Mailing address
4808 MCMAHON BLVD NW, MSC10 5550, ALBUQUERQUE, NM 87114-5010
(505) 272-1754

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
70-13
NM

Other

Enumeration date
07/22/2006
Last updated
07/08/2007
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