Individual
DR. BENJAMIN HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 E PRIMROSE ST, SPRINGFIELD, MO 65804
(417) 886-3937
Mailing address
1265 E PRIMROSE ST, SPRINGFIELD, MO 65804-4278
(417) 886-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2017044005
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058071
—
MO
Enumeration date
03/31/2014
Last updated
06/02/2023
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