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1629481379
BENNETT M JOHNSON
EDMONDS, WA
NPI
1629481379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA MD60864242)
Enumeration Date
2014-06-10
Last Update Date
2021-11-09
Business Address
BENNETT M JOHNSON MD
21616 76TH AVE W STE 201A
EDMONDS, WA 98026-7512
Phone number: 425-673-3400
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Mailing Address
BENNETT M JOHNSON MD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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