Individual
EDWARD BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W CHURCH ST, SANTA MARIA, CA 93458-5006
(805) 348-1850
Mailing address
PO BOX 13213, SAN LUIS OBISPO, CA 93406-3213
(805) 594-1149
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A21127
CA
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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