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Individual

DR. BENJAMIN SCOTT CHUDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3309 PERRY AVE, BREMERTON, WA 98310-5355
(360) 377-7788
(360) 377-0472
Mailing address
3309 PERRY AVE, BREMERTON, WA 98310-5355
(360) 377-7788
(360) 377-0472

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3423TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2021657
WA
01
410047984
RAILROAD MEDICARE PIN
WA
Enumeration date
06/13/2005
Last updated
02/01/2010
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