Individual
MR. JOSEPH RANDALL BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA,RA
Contact information
Practice address
9601 LILE DR STE 1100, LITTLE ROCK, AR 72205-6333
(501) 227-5240
Mailing address
1870 TOLTEC MOUNDS RD, ENGLAND, AR 72046-8941
(501) 351-0199
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RPA-2383
AR
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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