Individual
BENNETT BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-1110
Mailing address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20384
CA
Other
Enumeration date
06/21/2021
Last updated
06/12/2025
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