Individual
BENJAMIN VALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8734 UNION CENTRE BLVD, WEST CHESTER, OH 45069-4876
(513) 232-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.144816
OH
207X00000X
Orthopaedic Surgery Physician
57171
KY
207X00000X
Orthopaedic Surgery Physician
62610
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481871
—
OH
05
—
300067663
—
IN
05
—
7100836980
—
KY
Enumeration date
04/06/2016
Last updated
12/15/2022
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