Individual
DR. BRENT WHITCOMBE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
931 13TH ST, CODY, WY 82414-3603
(307) 587-1234
(307) 587-4311
Mailing address
931 13TH ST, CODY, WY 82414-3603
(307) 587-1234
(307) 587-4311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
600
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314146
BLUE CROSS BLUE SHIELD
WY
Enumeration date
01/21/2007
Last updated
07/08/2007
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