Organization
BENSON MEDICAL GROUP PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE RENAE BARTLETT (ADMINISTRATOR)
(360) 899-4526
Entity
Organization
Contact information
Practice address
110 N LAVENTURE RD, SUITE C, MOUNT VERNON, WA 98273-3901
(360) 899-4526
(360) 899-4534
Mailing address
110 N LAVENTURE RD, SUITE C, MOUNT VERNON, WA 98273-3901
(360) 899-4526
(360) 899-4534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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