Individual
LARRY L BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301078205
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101242901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922108398
—
VA
Enumeration date
09/25/2006
Last updated
05/18/2020
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