Individual
DR. BENJAMIN CLARK PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 ANDERSON AVE, BLDG. C, MANHATTAN, KS 66503-7601
(785) 539-3504
(785) 539-7430
Mailing address
4201 ANDERSON AVE, BLDG. C, MANHATTAN, KS 66503-7601
(785) 539-3504
(785) 539-7430
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-26124
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288270B
—
KS
Enumeration date
07/05/2005
Last updated
01/03/2011
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