NPI 1508208075

Brent Benton, CP

Practitioner Prosthetist Oakland, CA

Practice location

Address: 6001 Telegraph Ave, Oakland, CA 94609-1310
Phone: (510) 658-2062
Fax: (510) 658-7779

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1508208075
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2013
Record last updated: 24 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.