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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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