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BENEPRO P.C.

Physicians Family Medicine Geriatric Medicine

Provider NPI: 1487850590

Organization Information:
Organization Name:  BENEPRO P.C.
Organization is not Subpart
Authorized Official:  MICHAEL C BROWN  OWNER  206-878-8600

Practice Location:
22236 7TH AVE S  DES MOINES, WA 98198-6220 US
Tel: 206-878-8600  Fax: 206-878-4001

Business Mailing Address:
22236 7TH AVE S  DES MOINES, WA 98198-6220 US
Tel: 206-878-8600  Fax: 206-878-4001

NPI Information:
NPI: 1487850590
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QG0300XPhysicians
Family Medicine
Geriatric Medicine
N208VP0000XPhysicians
Pain Medicine
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType
WA BLUE SHEILD5607MAWA01
RAILROADDD4023WA01



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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