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Individual
BENJAMIN W VERDINE
Active
Individual
BENJAMIN W VERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2001019997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207465006
—
MO
01
—
P00326905
RAILROAD MEDICARE
—
01
—
P01135271
RAILROAD MEDICARE
MO
Enumeration date
06/16/2006
Last updated
07/28/2014
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