| NPI | 1093219628 |
|---|---|
| Doing Business As | BENSENHAVER MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RENEE NEVADA JOHNSON Credentialing Coordinator 540-536-0103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208800000X Urology | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2020-12-30 |