Individual
DR. PATRICK MULVEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 S ELISEO DR, SUITE #201, GREENBRAE, CA 94904-2133
(415) 461-4000
Mailing address
1000 S. ELISEO DR, SUITE #201, GREENBRAE, CA 94904
(415) 461-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G78346
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G783460
BLUE SHIELD
CA
Enumeration date
07/18/2006
Last updated
07/13/2010
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