Individual
MATTHEW BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10239 COUNTY ROAD 319, CROSS TIMBERS, MO 65634-8430
(417) 576-1726
Mailing address
10239 COUNTY ROAD 319, CROSS TIMBERS, MO 65634-8430
(417) 576-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014002425
MO
Other
Enumeration date
01/30/2014
Last updated
07/26/2022
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