Individual
DR. PHILIP FRANK BENEDETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1813 W HARVARD AVE, SUITE 432, ROSEBURG, OR 97471-2752
(541) 673-4303
(541) 673-4303
Mailing address
PO BOX 1547, ROSEBURG, OR 97470-0361
(541) 673-4303
(541) 673-4303
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD19209
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071832
—
OR
01
—
P00727911
RR MEDICARE
OH
Enumeration date
04/05/2006
Last updated
05/31/2011
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