Individual
BENJAMIN DAVID ST. CLAIR
Active
Individual
BENJAMIN DAVID ST. CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
02005568A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
06/07/2017
Last updated
07/27/2022
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