Organization
DIAGNOSTIC IMAGING SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BENSON M.D. (PRESIDENT)
(218) 828-4242
Entity
Organization
Contact information
Practice address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-4242
(218) 822-3758
Mailing address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-4242
(218) 822-3758
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01010253
PREFERRED ONE
MN
01
—
172079
UCARE
MN
Enumeration date
07/21/2006
Last updated
08/22/2020
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