Individual
DR. JULIO F BUENAVENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7501 92ND AVENUE CT SW, LAKEWOOD, WA 98498-3973
(253) 588-0058
(253) 589-4862
Mailing address
7501 92ND AVENUE CT SW, LAKEWOOD, WA 98498-3973
(253) 588-0058
(253) 589-4862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00009747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110056335
RAILROAD MEDICARE
—
05
—
1121201
—
WA
01
—
224270001
GROUP HEALTH
WA
Enumeration date
07/22/2005
Last updated
05/17/2010
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