Individual
DR. WALTER L BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-5511
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-5511
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0422403
KS
207RN0300X
Nephrology Physician
Primary
R9H07
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202618005
—
MI
Enumeration date
03/01/2006
Last updated
07/21/2022
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