Individual
ZACHARY ERNEST BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6241
(208) 381-2711
(208) 381-4847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101264372
VA
207R00000X
Internal Medicine Physician
M-16595
ID
207RH0003X
Hematology & Oncology Physician
Primary
M-16595
ID
Other
Enumeration date
04/26/2015
Last updated
08/16/2022
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