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NPI Code Detail

MEDICARE: BENJAMIN DAVID PE M.D.

MEDICARE: BENJAMIN DAVID PE M.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
12084P0800XPsychiatry PhysicianMD00027679WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871698936
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN DAVID PE M.D.
Provider Business Mailing Address
First Line : 1175 CARONDELET DR
Second Line :
City : RICHLAND
State : WA
Zip : 99354-3300
Country : US
Telephone Number : 509-943-9104
Fax Number :
Provider Business Practice Location Address
First Line : 1175 CARONDELET DR
Second Line :
City : RICHLAND
State : WA
Zip : 99354-3300
Country : US
Telephone Number : 509-943-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 12/18/2007

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