Individual
DR. WILLIAM R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204-2349
(509) 838-7711
(509) 747-4664
Mailing address
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204-2349
(509) 838-7711
(509) 747-4664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M5621
ID
207RC0000X
Cardiovascular Disease Physician
MD23687
WA
207RI0011X
Interventional Cardiology Physician
M5621
ID
207RI0011X
Interventional Cardiology Physician
Primary
MD00023687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003212700
—
ID
01
—
M5621
LICENSE
ID
01
—
MD23687
LICENSE
WA
Enumeration date
05/25/2006
Last updated
05/23/2017
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