Individual
JEFFREY L BEBENSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4631 MERLE HAY RD, DES MOINES, IA 50322-1962
(515) 278-0949
(515) 278-6721
Mailing address
4631 MERLE HAY RD, DES MOINES, IA 50322-1962
(515) 278-0949
(515) 278-6721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27643
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080047407
RR MEDICARE
IA
05
—
1174509228
—
IA
05
—
3057620
—
IA
05
—
4057620
—
IA
05
—
5057620
—
IA
Enumeration date
12/21/2005
Last updated
05/17/2012
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