Individual
JOHN JOSEPH BENECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06453
NC
363A00000X
Physician Assistant
PA-586
ME
Other
Enumeration date
06/09/2006
Last updated
05/06/2024
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