MICHAEL ANTHONY BENAVIDEZ

UPLAND, CA
NPI1205987914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A6396)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- MICHAEL ANTHONY BENAVIDEZ D.O.
984 W FOOTHILL BLVD
UPLAND, CA 91786-3700
Phone number: 909-373-8222
Mailing Address
-- MICHAEL ANTHONY BENAVIDEZ D.O.
984 WEST FOOTHILL BOULEVARD
UPLAND, CA 91786
Phone number: 909-373-8222
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