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Individual

JOE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
(360) 307-7304
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
(360) 307-7304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
295105
NY
207P00000X
Emergency Medicine Physician
Primary
MD61171597
WA

Other

Enumeration date
06/02/2016
Last updated
12/28/2021
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