Individual
CHRISTINA HENINGER BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
910 NW 16TH ST STE 101, FRUITLAND, ID 83619-2265
(208) 452-8000
(208) 452-8055
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 452-8000
(208) 452-8055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1156
ID
363A00000X
Physician Assistant
PA181966
OR
Other
Enumeration date
03/26/2014
Last updated
09/22/2020
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