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NPI Code Detail

MEDICARE: BENJAMIN S FASBINDER D.O.

MEDICARE: BENJAMIN S FASBINDER D.O.
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
1207Q00000XFamily Medicine PhysicianOP60517582WA

General Provider Information

NPI Number : 1710118567
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN S FASBINDER D.O.
Provider Business Mailing Address
First Line : 1201 PACIFIC AVE STE 646
Second Line :
City : TACOMA
State : WA
Zip : 98402-4301
Country : US
Telephone Number : 253-777-3919
Fax Number : 253-263-7065
Provider Business Practice Location Address
First Line : 13030 MILITARY RD S STE 200
Second Line :
City : TUKWILA
State : WA
Zip : 98168-3001
Country : US
Telephone Number : 425-277-1311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2009
Last Update Date : 05/12/2025

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