Individual
DR. BENNETT WAYNE PAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
528 MYRTLE STREET, LA CONNER, WA 98257
(360) 446-3136
(360) 466-0107
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(254) 258-3900
(760) 873-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61304014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114715
STATE LICENSE
CA
Enumeration date
06/16/2009
Last updated
05/23/2024
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