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NPI Code Detail

MEDICARE: YVONNE BENFORD

MEDICARE:   YVONNE  BENFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1760801328
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE BENFORD
Provider Business Mailing Address
First Line : 1409 REDWOOD TER
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-6927
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1409 REDWOOD TER
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-6927
Country : US
Telephone Number : 405-761-4171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 02/08/2026

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Directions to “ YVONNE BENFORD ” Practice Location

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