Thomas Henry Benton in Poplar Bluff - Adult Medicine
Thomas Henry Benton - NPI 1174620819
Thomas Henry Benton is a Adult Medicine in Poplar Bluff, Missouri. Thomas Henry Benton practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Thomas Henry Benton is 1174620819. The last update date is 2016-08-26.
Thomas Henry Benton's current location address is 1500 N Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 4172572454 and fax number 4172561119. The mailing address for Thomas Henry Benton is 1500 N Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Henry Benton |
|---|---|
| Address | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
| Phone Number | 4172572454 |
| Fax Number | 4172561119 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174620819 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2016-08-26 |
Provider Mailing Address Detail
| Address | 1500 N Westwood Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639013318 |
| Phone Number | 4172572454 |
| Fax Number | 4172561119 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | C5130 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102262001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Thomas Henry Benton by the Centers for Medicare & Medicaid Services?
The Thomas Henry Benton has been assigned the NPI (National Provider Identifier) 1174620819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Thomas Henry Benton is located?
The Thomas Henry Benton is situated at the following address: 1500 N Westwood Blvd, Poplar Bluff, MO, 639013318.
What is Thomas Henry Benton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thomas Henry Benton is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.
On what date did the Thomas Henry Benton receive the assignment of its 1174620819 from the Centers for Medicare & Medicaid Services?
The Thomas Henry Benton was issued its 1174620819 by the Centers for Medicare & Medicaid Services on 2006-09-17.
When was the information regarding Thomas Henry Benton most recently updated?
The details pertaining to the Thomas Henry Benton, including its address, specialty, and other relevant information, were last refreshed on 2016-08-26.
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