Individual
BENJAMIN WILLIAM TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-5400
Mailing address
2232 CHELSA CIR, REDDING, CA 96002-1553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA60921
CA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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