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Individual

DR. BENJAMIN PAUL EASTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
985 QUAIL HOLLOW CIR, DAKOTA DUNES, SD 57049-5138
(712) 251-7229
Mailing address
985 QUAIL HOLLOW CIR, DAKOTA DUNES, SD 57049-5138
(712) 251-7229

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024024806
MO
208000000X
Pediatrics Physician
94-11965
KS

Other

Enumeration date
03/21/2024
Last updated
07/05/2024
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