Doctor Name: | CHRISTINE BENSON |
NPI Number: | 1093139859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 114387 |
Business Practice Address: | 400 Medical Plz Radiation Oncolocy Lake St Louis, MO - 633671490 |
Business Phone Number: | 6366398629 |
Business Fax Number: | 6363270479 |
Mailing Address: | 400 Medical Plz, Radiation Oncolocy LAKE ST LOUIS |
State: | MO |
Postal Code: | 633671490 |
Phone Number: | 6366398629 |
Fax Number: | 6363270479 |
NPI Enumeration Date: | 02/13/2014 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 114387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |