Individual
ADAM BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 1123, JACKSON, MI 49204-1123
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN667331
PA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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