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Dr. Gary Gordon Benjamin, MD

Radiology, Vascular & Interventional Radiology in Tacoma, WA. Individual provider (NPI-1).

NPI number1164595286
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1164595286
Entity type
Individual (NPI-1)
Name
Dr. Gary Gordon Benjamin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 16, 2006
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional RadiologyMD00034148WAYes
2085R0202X Radiology, Diagnostic RadiologyMD00034148WA
2085R0202X Radiology, Diagnostic RadiologyMD21111OR
2085R0204X Radiology, Vascular & Interventional RadiologyMD21111OR

Other names

  • Gordon Benjamin (Professional Name)

Practice location

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Phone 253-761-4200 · Fax 253-761-4201

Mailing address

Po Box 1535
Tacoma, WA 98401-1535

Phone 253-761-4200 · Fax 253-383-3553

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