Individual
BENJAMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-7092
Mailing address
7425 FORSYTH BLVD, CAMPUS BOX 8221, SAINT LOUIS, MO 63105-2171
(314) 935-0618
(314) 935-0575
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
R4949
MO
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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