Individual
MR. THOMAS ALAN BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
11835 FISHING POINT DR, SUITE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
(757) 599-6893
Mailing address
11835 FISHING POINT DR, SUITE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
(757) 599-6893
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840152
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407814833
—
VA
Enumeration date
05/03/2006
Last updated
03/11/2011
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