| Back To Life Llc - Ben Booher Do | |
|
4309 W. 27th Pl. Suite 200 Kennewick WA 99338 | |
| (509) 735-5433 | |
| (509) 735-5435 |
| Full Name | Back To Life Llc - Ben Booher Do |
|---|---|
| Speciality | Internal Medicine |
| Location | 4309 W. 27th Pl., Kennewick, Washington |
| Authorized Official Name and Position | Ben W. Booher (PHYSICIAN) |
| Authorized Official Contact | 5415718201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Life Llc - Ben Booher Do Po Box 53 Hermiston OR 97838-0053 Ph: (541) 289-4555 | Back To Life Llc - Ben Booher Do 4309 W. 27th Pl. Suite 200 Kennewick WA 99338 Ph: (509) 735-5433 |
| NPI Number | 1760596860 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760596860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OP1774 (Washington) | Primary |
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