Individual provider · NPI-1

Dr. Michael Jon Benoit, MD

Family Medicine · Bremerton, WA

NPI number1972606135
StatusActive
Last updated in NPPESDec 14, 2007

Details

NPI
1972606135
Entity type
Individual (NPI-1)
Name
Dr. Michael Jon Benoit
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2006
Last updated
Dec 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00017979WAYes

Practice location

2528 Wheaton Way
Suite 105
Bremerton, WA 98310-3305

Phone 360-373-0303

Mailing address

2528 Wheaton Way
Suite 105
Bremerton, WA 98310-3305

Phone 360-373-0303

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Bremerton, WA