Individual
JEREMY MICHAEL BENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
PO BOX 6209, WHEELING, WV 26003-0714
(304) 233-3455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2613
WV
390200000X
Student in an Organized Health Care Education/Training Program
OT012579
PA
Other
Enumeration date
06/29/2008
Last updated
10/05/2015
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