| Dirk A Benham, DC | |
|
10425 Old Olive Street Rd, Suite 204, Saint Louis, MO 63141-5940 | |
| (314) 303-8168 | |
| Not Available |
| Full Name | Dirk A Benham |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 10425 Old Olive Street Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053441063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2000153522 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dirk A Benham, DC 10425 Old Olive Street Rd, Suite 204, Saint Louis, MO 63141-5940 Ph: (314) 303-8168 | Dirk A Benham, DC 10425 Old Olive Street Rd, Suite 204, Saint Louis, MO 63141-5940 Ph: (314) 303-8168 |
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