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Individual
WILLIAM RUSSELL MURRAY BENNETT
Active
Individual
WILLIAM RUSSELL MURRAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
C55097
CA
2084P0015X
Psychosomatic Medicine Physician
C55097
CA
2084P0800X
Psychiatry Physician
Primary
C55097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175022
L&I
WA
05
—
1568542462
—
WA
01
—
260038698
RAIL ROAD MEDICARE
WA
01
—
3129
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
03/09/2016
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