person
Dr. Jonathan Ian Bennett, DPM
Foot & Ankle Surgery Podiatrist in Fullerton, California
NPI 1497850325

Jonathan Ian Bennett is a Foot & Ankle Surgery Podiatrist based in Fullerton, CA and is specialized in Foot & Ankle Surgery. Jonathan Ian Bennett practices in Fullerton, CA and has the professional credentials of DPM. The NPI Number for Jonathan Ian Bennett is 1497850325 and holds a License No. E4301 (California).

The current practice location address for Jonathan Ian Bennett is 300 N Euclid St, Fullerton, CA and can be reached out via phone at 714-888-6860 and via fax at 714-888-6867. You can also correspond with Jonathan Ian Bennett through the mailing address at 300 N EUCLID ST, FULLERTON, CA - 92832-1623 (mailing address contact number: 714-888-6860).

Location: 300 N Euclid St, Fullerton, CA, 92832-1623
person
Provider Profile Details
NPI Number
1497850325
Provider Name
Jonathan Ian Bennett
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
300 N Euclid St, Fullerton, CA, 92832-1623
Phone Number
714-888-6860
Fax Number
714-888-6867
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E4301 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
300 N Euclid St
City
State
Zip
92832-1623
Phone Number
714-888-6860
Fax Number
714-888-6867
person
Provider Business Mailing Address Details
Address
300 N Euclid St
City
State
Zip
92832-1623
Phone Number
714-888-6860
Fax Number
714-888-6867
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4301 (California)
Definition
Definition to come...
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