Individual
STACIE CHRISTINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5350
Mailing address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A74688
CA
208000000X
Pediatrics Physician
A74688
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A74688
CA
Other
Enumeration date
04/26/2006
Last updated
10/31/2025
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