Individual
DR. DAVID R BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5920 100TH ST SW STE 8, LAKEWOOD, WA 98499-2751
(253) 584-1777
(253) 584-0645
Mailing address
5920 100TH STREET SW SUITE 8, LAKEWOOD, WA 98499
(253) 584-1777
(253) 584-0645
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27848
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112499
—
WA
01
—
40206
WORK COMP
WA
01
—
BE0097
BLUE CROSS BLUE SHIELD
WA
Enumeration date
06/23/2005
Last updated
01/13/2015
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