Individual
BENJAMIN SAMUEL TELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-7336
(253) 968-1330
Mailing address
MEDDAC-K UNIT 15244 BOX 219, APO, AP 96205
01034296636
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28057
NE
Other
Enumeration date
02/28/2013
Last updated
09/02/2016
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