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Individual

DR. DAVID R BENSON

Active
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Individual

DR. DAVID R BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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