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T LEROY BENSON M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1720016637

Individual Registrant:
 T LEROY BENSON M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
250 BON AIR RD  GREENBRAE, CA 94904-1702 US
Tel: 415-454-2218  Fax: 415-485-6862

Contact information for business:
250 BON AIR RD  GREENBRAE, CA 94904-1702 US
Tel: 415-454-2218  Fax: 415-485-6862

Registration Information:
NPI: 1720016637
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
CAC28884

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00C288840CA05




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