Individual
BENJAMIN T MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(800) 235-1415
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E4185
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5N091
BCBS OF AR
—
01
—
P00323349
RR MEDICARE GROUP CK6327
—
Enumeration date
06/26/2006
Last updated
03/27/2008
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