Benjamin William Tanaka, PA

NPI #1609524651 in Redding, California

Provider Information

NPI Number: 1609524651
Entity Type: Individual
Name: Benjamin William Tanaka, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: PA
Enumeration Date: Mar 17, 2022
Last Updated: Mar 17, 2022

Practice Location

Address: 1100 BUTTE ST
City: Redding
State: California
ZIP Code: 96001-0852
Phone: (530) 244-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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