Individual
ERIC BENJAMIN MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000827414
ANTHEM
KY
05
—
7100260280
—
KY
Enumeration date
06/04/2010
Last updated
09/07/2023
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