Russell K Benevage

NPI #1134304561 in Sulphur, Louisiana

Provider Information

NPI Number: 1134304561
Entity Type: Organization
Organization Name: Russell K Benevage
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jan 3, 2008
Last Updated: Jan 3, 2008

Practice Location

Address: 842 S POST OAK RD
City: Sulphur
State: Louisiana
ZIP Code: 70663-5244
Phone: (337) 533-0001

Authorized Official

Name: MR. RUSSELL BENEVAGE
Title: OWNER
Phone: (337) 533-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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