Individual
DR. GEORGE H BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 524-3141
(479) 549-4601
Mailing address
451 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 524-3141
(479) 524-3090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4364
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073580A
—
OK
05
—
101130001
—
AR
Enumeration date
05/03/2006
Last updated
10/19/2010
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