Individual
MARK BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123-7960
(317) 745-5403
Mailing address
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123-7960
(317) 745-5403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001329
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100353530
—
IN
Enumeration date
10/23/2006
Last updated
01/13/2026
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