Dbenzmdpllc | |
19110 Ne 21st St Vancouver WA 98684-0907 | |
(360) 256-1190 | |
Not Available |
Full Name | Dbenzmdpllc |
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Speciality | Family Medicine |
Location | 19110 Ne 21st St, Vancouver, Washington |
Authorized Official Name and Position | Donald J Benz (MEMBER) |
Authorized Official Contact | 3602561190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dbenzmdpllc 19110 Ne 21st St Vancouver WA 98684-0907 Ph: (360) 256-1190 | Dbenzmdpllc 19110 Ne 21st St Vancouver WA 98684-0907 Ph: (360) 256-1190 |
NPI Number | 1386925592 |
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Provider Enumeration Date | 08/31/2011 |
Last Update Date | 08/31/2011 |
Identifier | Type | State | Issuer |
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1386925592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 00016331 (Washington) | Primary |
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