Individual
ERIC A BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1001 W 10TH ST, M200, INDIANAPOLIS, IN 46202-2859
(317) 656-4260
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070260A
IN
208U00000X
Clinical Pharmacology Physician
01070260A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11014845A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201054850
—
IN
Enumeration date
06/18/2009
Last updated
02/04/2021
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