| Benjamin Wibonele, MD | |
|
104 27th Ave Se, Puyallup, WA 98374-1145 | |
| (253) 770-9000 | |
| (253) 770-9712 |
| Full Name | Benjamin Wibonele |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 104 27th Ave Se, Puyallup, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285255448 | NPI | - | NPPES |
| 2338134 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0901X | Otolaryngology - Otology & Neurotology | MD61666933 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | MD61666933 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Wibonele, MD Po Box 1205, Puyallup, WA 98371-0231 Ph: (253) 770-9000 | Benjamin Wibonele, MD 104 27th Ave Se, Puyallup, WA 98374-1145 Ph: (253) 770-9000 |
Dr. Todd Dwyer Jones, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712 | |
Dr. Dennis R. Elonka, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6415 82nd St E, Puyallup, WA 98371 Phone: 253-691-0823 | |
Vivian Mae Yu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712 | |
Julie Allina Gustafson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-848-0368 Fax: 253-435-4937 | |
Randall Paul Bennett, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712 | |
Douglas D Backous, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712 |