Individual
DR. ROBERT ALAN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731 12TH AVE NW STE 103, ARDMORE, OK 73401-5762
(580) 220-6180
(580) 226-1120
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44588
TN
207RC0000X
Cardiovascular Disease Physician
Primary
116243
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193634602
—
TX
05
—
200018790A
—
OK
Enumeration date
06/07/2006
Last updated
06/06/2022
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