Individual
MR. MATTHEW DOUGLAS BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 NE 13TH ST, SUITE 200, OKLAHOMA CITY, OK 73104-5051
(405) 271-4351
Mailing address
1122 NE 13TH ST, SUITE 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R032031
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
0091029
OK
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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