Doctor Name: | DR. BRADLEY BENSON |
NPI Number: | 1013247832 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 6957 |
Business Practice Address: | 1909 Pierce St Sioux City, IA - 511043842 |
Business Phone Number: | 7122771581 |
Business Fax Number: | 7122771213 |
Mailing Address: | 1909 Pierce St, SIOUX CITY |
State: | IA |
Postal Code: | 51104 |
Phone Number: | 7122771581 |
Fax Number: | 7122771213 |
NPI Enumeration Date: | 12/29/2009 |
NPI Last Update Date: | 12/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 6957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |