Organization
BENJAMIN PUMPHREY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN PUMPHREY MD (PHYSICIAN/MANAGER)
(540) 463-4079
Entity
Organization
Contact information
Practice address
120 W NELSON ST, LEXINGTON, VA 24450-2036
(267) 357-4186
Mailing address
71 WILSON BLVD, FISHERSVILLE, VA 22939-2283
(267) 357-4186
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0101245066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447316930
INDIVIDUAL NPI
—
Enumeration date
10/12/2009
Last updated
08/13/2011
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