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Individual

DR. PHILLIP BENJAMIN CUENCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, 9040A JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-3077
(253) 968-3541
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040A JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-3077
(253) 968-3541

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01056581A
IN
207L00000X
Anesthesiology Physician
Primary
60064122
WA

Other

Enumeration date
12/09/2005
Last updated
11/23/2015
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