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Individual

MR. JAMES KING BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-6393
Mailing address
127 S 500 E, SALT LAKE CITY, UT 84102-1959
(801) 587-6336

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2011002625
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
PENDING
UT

Other

Enumeration date
11/18/2010
Last updated
06/29/2015
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