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Individual

DR. REID ROBERTS BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664
(363) 828-5396
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(363) 828-5396

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60926124
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2015
Last updated
05/08/2019
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