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Individual

DR. BENNY LEE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
502 WASHINGTON AVE, LOS BANOS, CA 93635-4649
(209) 826-4771
(209) 826-8565
Mailing address
502 WASHINGTON AVE, LOS BANOS, CA 93635-4649
(209) 826-4771
(209) 826-8565

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
17527
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
20A13319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125672
MS
Enumeration date
10/12/2006
Last updated
07/21/2022
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