Individual
MR. BENJAMIN COLEMAN PANTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3240 NE 3RD AVE, CAMAS, WA 98607-2408
(360) 729-8234
(360) 293-3337
Mailing address
3240 NE 3RD AVE, CAMAS, WA 98607-2408
(360) 838-2440
(360) 838-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60698188
WA
Other
Enumeration date
09/15/2014
Last updated
11/25/2020
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