Individual
MICHAEL ANTHONY BENINATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 377-1884
(985) 377-1914
Mailing address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 377-1884
(985) 377-1914
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA200009
LA
Other
Enumeration date
02/27/2006
Last updated
06/25/2024
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