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Individual

DR. STEVEN PHILLIP BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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