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NPI Code Detail

MEDICARE: BENJAMAN JAMES GILHAM AUD, D

MEDICARE:   BENJAMAN JAMES GILHAM  AUD, D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistLD60233276WA

General Provider Information

NPI Number : 1548548126
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMAN JAMES GILHAM AUD, D
Provider Business Mailing Address
First Line : 2921 NACHES AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2617
Country : US
Telephone Number : 206-630-5737
Fax Number : 206-630-1601
Provider Business Practice Location Address
First Line : 2921 NACHES AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2617
Country : US
Telephone Number : 206-630-5737
Fax Number : 206-630-1601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2011
Last Update Date : 01/26/2022

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Directions to “ BENJAMAN JAMES GILHAM AUD, D” Practice Location

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