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Individual

DR. MARK RICHARD BENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1801 PARKVIEW DRIVE NE, CULLMAN, AL 35058-3618
(205) 558-3200
(205) 623-1090
Mailing address
1801 PARKVIEW DRIVE NE, CULLMAN, AL 35058-3618
(205) 558-3200
(205) 623-1090

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
12284
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000015888
AL
05
000028811
AL
05
0120252
MS
05
122391
AL
Enumeration date
08/23/2006
Last updated
05/21/2025
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