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Individual

BENJAMIN JASON BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T

Contact information

Practice address
16075 MANCHESTER RD, ELLISVILLE, MO 63011-2103
(636) 256-0880
(636) 256-9153
Mailing address
16075 MANCHESTER RD, ELLISVILLE, MO 63011-2103
(636) 256-0880
(636) 256-9153

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004030104
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
185215
BCBS
MO
01
705347
UHC
MO
01
724945
HEALTHLINK
MO
Enumeration date
04/25/2007
Last updated
07/08/2007
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