Individual
ROBERT E BENEDETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E KINGSLEY ST, SUITE A, SPRINGFIELD, MO 65804-7211
(417) 720-4916
(417) 720-4917
Mailing address
1230 E KINGSLEY ST, SUITE A, SPRINGFIELD, MO 65804-7211
(417) 720-4916
(417) 720-4917
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R3K52
MO
Other
Enumeration date
07/20/2005
Last updated
12/20/2014
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