SearchCalifornia1710I1002X

Benjamin Puckett, DIVE IDC

NPI 1881072726 · on the registry since 2015

Practice

Address
2661 A St
San Diego, CA 92102
Phone
(808) 489-6160

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Sex
Male
Record last updated
2015-05-12

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