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Individual

DR. JAMES TOLIVER BENNETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
4800 SAND POINT WAY NE, GENETIC MEDICINE, SEATTLE, WA 98105-3901
(206) 987-2056
Mailing address
4800 SAND POINT WAY NE, GENETIC MEDICINE, SEATTLE, WA 98105-3901
(206) 987-2056

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD60275601
WA
207SG0203X
Clinical Molecular Genetics Physician
Primary
MD60275601
WA
208000000X
Pediatrics Physician
MD60275601
WA

Other

Enumeration date
07/16/2008
Last updated
04/16/2014
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