Individual
BOBBY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2671 LAS VEGAS BLVD NORTH, N. LAS VEGAS, NV 89030
(702) 649-3529
(702) 642-5102
Mailing address
6235 IGINLAS GOAL AVENUE, LAS VEGAS, NV 89131
(702) 528-5336
(702) 642-5102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13553
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902080
—
NV
Enumeration date
05/03/2007
Last updated
07/08/2007
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