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Mark Bennett

NPI 1871912287 · on the registry since 2014

Practice

Address
829 27th St
San Diego, CA 92102
Phone
(619) 575-4687
Fax
(618) 575-1215
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
390200000X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California