| Donald Benz Md Pllc | |
|
1405 Se 164th Ave Suite 201 Vancouver WA 98683-9644 | |
| (360) 256-1190 | |
| (360) 256-2916 |
| Full Name | Donald Benz Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1405 Se 164th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Donald J Benz (MEMBER) |
| Authorized Official Contact | 3602561190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Benz Md Pllc Po Box 848350 Boston MA 02284-8350 Ph: (360) 256-1190 | Donald Benz Md Pllc 1405 Se 164th Ave Suite 201 Vancouver WA 98683-9644 Ph: (360) 256-1190 |
| NPI Number | 1871505404 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 12/08/2014 |
| Medicare PECOS PAC ID | 6406841667 |
|---|---|
| Medicare Enrollment ID | O20040416001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871505404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald J Benz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689669475 PECOS PAC ID: 9032104294 Enrollment ID: I20040419000265 |
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