Provider Demographics
NPI:1265726913
Name:BENSON, CHRISTY ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ELIZABETH
Last Name:BENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:634 SIMMS AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-0500
Mailing Address - Country:US
Mailing Address - Phone:515-282-2581
Mailing Address - Fax:515-282-2332
Practice Address - Street 1:1801 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1505
Practice Address - Country:US
Practice Address - Phone:515-282-5773
Practice Address - Fax:515-282-2332
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-30
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA42464207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology