NPI 1881767556 · live from the CMS NPI Registry
Michael J Benton, P.A.-C
Physician Assistant, Medical in Oklahoma City, OK. National Provider Identifier 1881767556, active.
NPI record
| NPI | 1881767556 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1919 E Memorial Rd, Oklahoma City, OK 73131 |
| Practice phone | 405-749-7099 |
| Enumerated | November 17, 2006 |
| Last updated | December 22, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 1068 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.