Individual
DUSTIN BENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 362-1990
(334) 395-4110
Mailing address
PO BOX 3749, JACKSON, MS 39207-3749
(601) 362-1990
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R880063
MS
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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