Individual
ALLEN BENENSOHN OSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4517 SOUTHLAKE PKWY STE 4400, HOOVER, AL 35244-3280
(205) 985-4111
Mailing address
4517 SOUTHLAKE PKWY STE 4400, HOOVER, AL 35244-3280
(205) 985-4111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035617
—
AL
05
—
009961835
—
AL
01
—
51035617
BLUE CROSS/BLUE SHIELD
AL
01
—
51513964
BLUE CROSS/BLUE SHIELD
AL
01
—
51521237
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/07/2006
Last updated
05/22/2023
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