Whalio Doctors

NPI 1518139971

Benjamin Smith Gaddy, DO

Practitioner Surgery Physician Jefferson City, MO

Practice location

Address
3702 W Truman Blvd Suite 104, Jefferson City, MO 65109-4970
Phone
(573) 635-5315
Fax
(573) 635-5512

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 29734 (MO)

Registry record

NPI
1518139971
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Mar 2008
Record last updated
26 Mar 2008

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.