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Individual
BRYAN BENGSTON
Active
Individual
BRYAN BENGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2009005829
MO
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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