Individual
CONNOR SAMUEL BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-2113
(202) 444-8168
(877) 303-1460
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 745-2209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101263634
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
09/21/2023
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