Benjamin Nichols
NPI #1407204811 in Walla Walla, Washington
Provider Information
- NPI Number
- 1407204811
- Entity Type
- Individual
- Name
- Benjamin Nichols
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 25, 2016
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 1120 W ROSE ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-1662
- Phone
- (509) 525-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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