Individual
DR. BENJAMIN W RISENMAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 S MEDICAL CENTER DR, ST GEORGE, UT 84790
(435) 251-1000
Mailing address
3381 OAKWOOD ST, SLC, UT 84109-3043
(435) 669-7335
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8161839-1205
UT
207L00000X
Anesthesiology Physician
8161839-8905
UT
207R00000X
Internal Medicine Physician
AT 16525452054
AZ
Other
Enumeration date
11/10/2010
Last updated
09/04/2014
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