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Individual
DR. ANDREW LEON BENNETT
Active
Individual
DR. ANDREW LEON BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-14113
ID
207Q00000X
Family Medicine Physician
MD00028532
WA
207Q00000X
Family Medicine Physician
Primary
MD217581
OR
Other
Enumeration date
10/21/2015
Last updated
08/30/2024
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