Individual
DAVID BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 986-6199
(479) 636-0371
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
E-12336
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417367103
—
MO
05
—
200844950A
—
OK
05
—
236382001
—
AR
01
—
HDX02
BCBS ARKANSAS
AR
01
—
P02258016
RAILROAD
AR
Enumeration date
05/02/2014
Last updated
11/22/2023
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