Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0200X | Radiology | DC16260 | CA |
N | 213ER0200X | Radiology | DC16260 | CA |
N | 111NX0100X | Occupational Health | DC16260 | CA |
NPI | 1669404141 |
---|---|
Provider Name | Barry Lee Bender |
First Address | Bakersfield, CA 93306-4246 |
Second Address | Bakersfield, CA 93306-4246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |