Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW BENEDICT, PA-C
Active Sole ProprietorPhysician Assistant · CROSS TIMBERS, MO
Registration Details
- NPI Number
- 1447673132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2014 (12.236187720982 yrs)
- Last Updated
- Jul 26, 2022
- License
-
2014002425 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10239 COUNTY ROAD 319CROSS TIMBERS, MO, 656348430Browse MO providers · Browse ZIP 65634
- Phone
- 4175761726
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.