Individual
BENJAMIN W VERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7727
(636) 239-5021
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7727
(636) 239-5021
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2001019997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207465006
—
MO
01
—
P00326905
RAILROAD MEDICARE
—
01
—
P01135271
RAILROAD MEDICARE
MO
Enumeration date
06/16/2006
Last updated
07/28/2014
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