Individual
BENJAMIN HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 E HOLLAND AVE, NORTHWEST DERMATOLOGY, SPOKANE, WA 99218-1257
(509) 444-6367
(509) 444-6371
Mailing address
757 E HOLLAND AVE, NORTHWEST DERMATOLOGY, SPOKANE, WA 99218-1257
(509) 444-6367
(509) 444-6371
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00033906
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD00033906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115013
—
WA
01
—
KQ241
BLUE CROSS IDAHO
WA
Enumeration date
01/13/2006
Last updated
04/05/2010
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