Individual
DAVID B. BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO,C.PED
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795157
—
NC
Enumeration date
05/23/2007
Last updated
10/14/2008
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