Individual
RONALD G BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PRIMROSE ST, STE 400, SPRINGFIELD, MO 65807-5154
(417) 875-3000
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201374907
—
MO
01
—
7212
BLUE CROSS/BLUE SHIELD
—
Enumeration date
06/14/2006
Last updated
12/03/2009
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