Individual
BENNETT GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3260
(509) 227-7070
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4049
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60927879
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60927879
WA STATE DEPT OF HEALTH
WA
Enumeration date
03/22/2016
Last updated
05/18/2021
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