Individual
BENJAMIN CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1859 S TOPAZ WAY STE 106, MERIDIAN, ID 83642-4401
(208) 672-4640
Mailing address
2715 S BAYOU BAR WAY, MERIDIAN, ID 83642-6726
(561) 714-2494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
57657
ID
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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