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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDALL PAUL BENNETT, MD

Active

Otolaryngology · PUYALLUP, WA

Registration Details

NPI Number
1619907953
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (19.803785907225 yrs)
Last Updated
Oct 20, 2015
License
MD22922 (WA)

Practice Information

Address
104 27TH AVE SE
PUYALLUP, WA, 983741145
Browse WA providers · Browse ZIP 98374
Phone
2537709000
Fax
2537709712
Primary Specialty
Otolaryngology
207Y00000X

Other Otolaryngology Providers in PUYALLUP, WA

Name Credential NPI
DR. WILLIAM STERLING DUKE MD 1679545875
CHARLES V. EDMOND JR. MD 1851327324
DR. GREG E. DAVIS MD, MPH 1679689145
DOUGLAS D BACKOUS MD 1669589974
DR. DENNIS R. ELONKA M.D. 1386709848
JULIE ALLINA GUSTAFSON M.D. 1508902081
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.