Individual
GENA L.R. BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4449
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33633
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077432
HEALTH ALLIANCE
—
01
—
080185468
RAILROAD MEDICARE
—
01
—
143695
IOWA HEALTH SOLUTIONS
—
05
—
3192799
—
IA
01
—
4796890003
DMERC
—
01
—
55817
WELLMARK HEALTH PLANS
IA
01
—
IA01C8
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/14/2005
Last updated
04/20/2021
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