Individual
DR. BENJAMIN ROBERT BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A 106122
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A106122
CA
Other
Enumeration date
06/13/2007
Last updated
03/27/2018
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