Individual
BENNETT RAYMOND GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12710 CARMEL COUNTRY RD, SAN DIEGO, CA 92130-2153
(858) 499-2600
(619) 526-6093
Mailing address
2600 VIA DE LA VALLE, SUITE 200, DEL MAR, CA 92014-1992
(858) 499-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25167
OR
Other
Enumeration date
10/03/2006
Last updated
01/13/2014
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