Individual
BENJAMIN H CESARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
(417) 347-2118
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1111
(417) 347-2118
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020040825
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2018
Last updated
06/21/2021
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