Michael Anthony Benavidez, D.O.

NPI #1205987914 in Upland, California

Provider Information

NPI Number: 1205987914
Entity Type: Individual
Name: Michael Anthony Benavidez, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 984 W FOOTHILL BLVD
City: Upland
State: California
ZIP Code: 91786-3700
Phone: (909) 373-8222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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