Individual
CHRISTINE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MEDICAL PLZ, RADIATION ONCOLOCY, LAKE ST LOUIS, MO 63367-1490
(636) 639-8629
(636) 327-0479
Mailing address
400 MEDICAL PLZ, RADIATION ONCOLOCY, LAKE ST LOUIS, MO 63367-1490
(636) 639-8629
(636) 327-0479
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
114387
MO
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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