Individual
BENJAMIN INGENTHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
851 E 5TH ST STE 208, WASHINGTON, MO 63090-3129
(636) 208-1760
Mailing address
851 E 5TH ST STE 208, WASHINGTON, MO 63090-3129
(636) 208-1760
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2022016382
MO
Other
Enumeration date
01/12/2021
Last updated
06/01/2022
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