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Individual

DR. PAMELA P. BENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
132 EGRET LN, BUFFALO JUNCTION, VA 24529-3505
(424) 738-5584
Mailing address
132 EGRET LN, BUFFALO JUNCTION, VA 24529-3505
(424) 738-5584

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101248270
VA
207P00000X
Emergency Medicine Physician
Primary
2007-00536
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031755513B
GA
05
264957
SC
05
5900395
NC
Enumeration date
04/07/2006
Last updated
05/23/2012
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