Whalio Doctors

NPI 1174620819

Thomas Henry Benton, MD

Practitioner Adult Medicine Physician West Plains, MO

Practice location

Address
1801 E State Route K, West Plains, MO 65775-6616
Phone
(417) 257-2454
Mailing address
1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318

Registered specialties

Adult Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence C5130 (AR)

Registry record

NPI
1174620819
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Sep 2006
Record last updated
26 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.