Individual
DR. RANDAL D BENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 NW SAMMAMISH RD, ISSAQUAH, WA 98027-5364
(425) 394-0610
(425) 394-0809
Mailing address
PO BOX 661539, ARCADIA, CA 91066-1539
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00025068
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8117855
—
WA
Enumeration date
07/07/2006
Last updated
06/30/2008
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