Individual
MICHAEL BENITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2807 W WASHINGTON AVE STE 117, YAKIMA, WA 98903-1367
(509) 972-8617
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RT30125187
WA
Other
Enumeration date
06/20/2019
Last updated
01/02/2020
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