Individual
DR. BENJAMIN BRANDON CONSTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-8327
Mailing address
PO BOX 5215, TACOMA EMERGENCY CARE PHYSICIANS, TACOMA, WA 98034
(253) 403-8327
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A113514
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2009
Last updated
07/17/2013
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