Individual
MR. BENJAMIN B THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1800695
KS
174400000X
Specialist
1855
CA
174400000X
Specialist
2005018513
MO
174400000X
Specialist
2663
SC
174400000X
Specialist
405511
TN
174400000X
Specialist
6263
NC
174400000X
Specialist
OTA 000911
GA
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
Update your record
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