Brent P Wentworth, DO
Family Medicine in Soquel, CA. Individual provider (NPI-1).
NPI number1982163002
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1982163002
- Entity type
- Individual (NPI-1)
- Name
- Brent P Wentworth
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2019
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A19546 | CA | Yes |
Practice location
4700 Soquel DrSoquel, CA 95073-2427
Phone 831-888-9410 · Fax 831-477-7795
Mailing address
3400 Data DrRancho Cordova, CA 95670-7956
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Other Family Medicine Physician providers in Soquel, CA
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- Kathryn Scott Morris, M.D.NPI 1639373251
- Barry D Norris, MDNPI 1902001621
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- Marianne Margaret Walters, MDNPI 1477649911
- Byron Weston, M.D.NPI 1891188256
All 8 Family Medicine Physician providers in Soquel · All 321 providers in Soquel
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