Individual
CHARLES BENAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1424 N. MCDONALD ROAD, STE 101, SPOKANE VALLEY, WA 99216-1088
(509) 928-1287
(509) 928-7346
Mailing address
1424 N. MCDONALD ROAD, STE 101, SPOKANE VALLEY, WA 99216-1088
(509) 928-1287
(509) 928-7346
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD0023736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020437
—
WA
01
—
105282
LABOR & INDUSTRIES
WA
01
—
8927756
CRIME VICTIMS
WA
Enumeration date
06/22/2005
Last updated
01/28/2010
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