Individual
JACOB WILLIAM BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-7901
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-7901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024021447
MO
207R00000X
Internal Medicine Physician
2024040076
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2025021026
MO
Other
Enumeration date
06/20/2024
Last updated
06/30/2025
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