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Individual
BENJAMIN SMITH
Active
Individual
BENJAMIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101258753
VA
208D00000X
General Practice Physician
Primary
MD198549
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2014
Last updated
08/02/2023
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