Individual
MR. ALAN ROBERT BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1202 E LOCUST, EMMETT, ID 83617
(208) 365-3561
Mailing address
2571 WS SLOPE RD, EMMETT, ID 83617
(208) 365-1125
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA82
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142352
REGENCE BLUE SHIELD ID
ID
01
—
HBLF2
BLUE CROSS IDAHO
ID
Enumeration date
09/01/2006
Last updated
07/08/2007
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