Dr. Thomas Henry Benton
Family Doctor - Adult Medicine
1801 E State Route K
West Plains
, Missouri 65775-6616
Dr. Thomas Henry Benton
Family Doctor - Adult Medicine
1801 E State Route K
West Plains
, Missouri 65775-6616
(417) 256-1119
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Thomas Henry Benton
- 1500 N Westwood Blvd
- Poplar Bluff, MO
- Zip : 63901-3318
- Fax : (417) 256-1119
- Phone : (417) 257-2454
Second Address
- Dr. Thomas Henry Benton
- 1801 E State Route K
- West Plains, MO
- Zip : 65775-6616
- Phone : (417) 257-2454
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | C5130 | AR |
National Provider Identifier
| NPI | 1174620819 |
|---|---|
| Provider Name | Dr. Thomas Henry Benton |
| First Address | Poplar Bluff, MO 63901-3318 |
| Second Address | West Plains, MO 65775-6616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2006 |
| Last Update Date | 26/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102262001 | (05) | AR |
| B89964 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.