Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | A31528 | CA |
NPI | 1477666345 |
---|---|
Provider Name | Dr. John Frank Bennetts |
First Address | Monterey, CA 93942-1769 |
Second Address | Monterey, CA 93940-5362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 18/02/2014 |