Individual
DIRK A. BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10425 OLD OLIVE STREET RD, SUITE 204, SAINT LOUIS, MO 63141-5940
(314) 303-8168
Mailing address
10425 OLD OLIVE STREET RD, SUITE 204, SAINT LOUIS, MO 63141-5940
(314) 303-8168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000153522
MO
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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