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Individual

DR. BENJAMIN ALAN CHILDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
109 N 2ND ST, OZARK, MO 65721-9366
(417) 844-8726
Mailing address
359 S COUNTRYMAN RD, OZARK, MO 65721-7695
(417) 838-3290

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
2021027634
MO
2083X0100X
Occupational Medicine Physician
2021027634
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/06/2014
Last updated
06/18/2024
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