Individual
MISS SARAH BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26791 ANDREWS LN, WARRENTON, MO 63383-6240
(636) 456-7384
Mailing address
26791 ANDREWS LN, WARRENTON, MO 63383-6240
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2005
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005
PHYSICIAN ASSISTANT LICENSE
CT
Enumeration date
04/23/2020
Last updated
04/24/2020
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