Individual
MR. BENJAMIN PATRICK BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1975 GLENN MITCHELL DR STE 200, VIRGINIA BEACH, VA 23456-0167
(757) 321-3300
(757) 321-3330
Mailing address
230 CLEARFIELD AVE STE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3300
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008229
VA
Other
Enumeration date
10/16/2006
Last updated
09/21/2023
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