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Individual

DAVID M BENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
1415 E KINCAID ST, MT VERNON, WA 98273-4126
(360) 428-2166
(360) 428-2457
Mailing address
505 S 336TH STREET, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003573
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0223849
LIWA
WA
05
8323933
WA
Enumeration date
05/24/2006
Last updated
05/18/2021
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