Randall Paul Bennett MD

NPI 1619907953 - Otolaryngology - 207Y00000X

NPI Details
NPI 1619907953
Gender Male
Enumeration Date 07/03/2006
Last Updated 10/20/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
104 27TH AVE SE
PUYALLUP WA, 98374-1145, US
Phone (253) 770-9000
Fax (253) 770-9712
Business Location
PO BOX 1205
PUYALLUP WA, 98371-0231, US
Phone (253) 770-9000
Taxonomy Code 207Y00000X
License State Washington
License Number MD22922
Remove 1619907953 NPI Number

According to our database, Randall Paul Bennett MD NPI is 1619907953, taxonomy code is 207Y00000X and license number is MD22922, license state is located at Washington. Randall Paul Bennett MD physically located at 104 27th Ave Se, Puyallup WA, 98374-1145. NPI Number Randall Paul Bennett MD has the Individual type.

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1619907953 NPI number is provided on an as is basis without warranty of any kind. 1619907953 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Paul Bennett MD are for informational purposes only.