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Individual
BRIAN BENSON
Active
Individual
BRIAN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
326824
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
326864
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001453
GA
Other
Enumeration date
04/19/2017
Last updated
07/28/2021
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