Individual
JO A BENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4436
(319) 384-8052
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4436
(319) 384-8052
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
20340
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169623
—
IA
05
—
1169623
—
IA
01
—
16962
WELLMARK BCBS
IA
01
—
33927
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
11/28/2007
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