Individual
DR. BENJAMIN SMITH GADDY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3702 W TRUMAN BLVD, SUITE 104, JEFFERSON CITY, MO 65109-4970
(573) 635-5315
(573) 635-5512
Mailing address
3702 W TRUMAN BLVD, SUITE 104, JEFFERSON CITY, MO 65109-4970
(573) 635-5315
(573) 635-5512
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29734
MO
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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