Jay Kenneth Benard, D.P.M.
Podiatrist, Foot & Ankle Surgery in San Francisco, CA. Individual provider (NPI-1).
NPI number1154495083
StatusActive
Last updated in NPPESMar 18, 2008
Details
- NPI
- 1154495083
- Entity type
- Individual (NPI-1)
- Name
- Jay Kenneth Benard
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2006
- Last updated
- Mar 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E2434 | CA | Yes |
Practice location
1580 Valencia StSuite #804
San Francisco, CA 94110-4412
Phone 415-392-5626 · Fax 415-392-5632
Mailing address
1580 Valencia StSuite #804
San Francisco, CA 94110-4412
Phone 415-392-5626 · Fax 415-392-5632
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