Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1013310663 |
---|---|
Provider Name | Dr. Geoffrey Bender |
First Address | Seattle, WA 98122-2836 |
Second Address | Seattle, WA 98122-2836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2014 |
Last Update Date | 07/07/2016 |