Individual
DR. DAVID A BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34705 N NEWPORT HWY, CHATTAROY, WA 99003-7711
(509) 292-2001
(509) 292-9744
Mailing address
PO BOX 129, ELK, WA 99009-0129
(509) 292-2001
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD00037169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018084
—
WA
Enumeration date
05/06/2006
Last updated
07/08/2007
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