Individual
BENJAMIN ROSS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
Mailing address
669 CARVED TER, COLORADO SPRINGS, CO 80919-1130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102205720
VA
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0061359
CO
Other
Enumeration date
06/24/2013
Last updated
12/04/2023
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