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Individual

DR. BENJAMIN MARK SCAPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8040 161ST AVE NE, SUITE 268, REDMOND, WA 98052-3807
(425) 802-1621
Mailing address
8040 161ST AVE NE, SUITE 268, REDMOND, WA 98052-3807
(425) 802-1621

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
PH00010473
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000251
WA

Other

Enumeration date
01/02/2012
Last updated
01/02/2012
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