Individual
JOHN WALTER BENUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4311 CHICOT STREET, PASCAGOULA, MS 39581-4701
(228) 762-9531
(228) 762-9588
Mailing address
4311 CHICOT STREET, PASCAGOULA, MS 39581-4701
(228) 762-9531
(228) 762-9588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80030
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012898
—
MS
Enumeration date
08/24/2006
Last updated
09/27/2019
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