Individual
DR. STEVEN PHILLIP BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-1367
(253) 968-2284
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 REID ST, TACOMA, WA 98431-1100
(253) 968-1367
(253) 968-2284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00047199
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00047199
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00047199
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216734
LABOR & INDUSTRIES
WA
01
—
77385877
AETNA
—
05
—
8472466
—
WA
01
—
8918BE
REGENCE BLUE SHIELD
—
Enumeration date
11/14/2006
Last updated
03/07/2023
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