Individual
MARTIN A. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 377-3911
Mailing address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00038434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8253056
—
WA
Enumeration date
07/07/2006
Last updated
05/18/2021
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