Individual provider · Type 1 NPI

Gary Gordon Benjamin, MD

Vascular & Interventional Radiology Physician · Tacoma, WA

NPI number 1164595286 Active

Practice location

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Fax (253) 761-4201

Mailing address

PO Box 1535
Tacoma, WA 98401-1535

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD00034148 (WA)
Diagnostic Radiology Physician 2085R0202XMD21111 (OR)
Vascular & Interventional Radiology Physician Primary 2085R0204XMD00034148 (WA)
Vascular & Interventional Radiology Physician 2085R0204XMD21111 (OR)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1164595286

Gary Gordon Benjamin, MD's National Provider Identifier is 1164595286, issued on Nov 16, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Tacoma, WA. The record was last updated on May 13, 2019.