Most Relevant Information
Provider Data
| NPI Number: | 1003357492 |
| Provider Name: | BENJAMIN MARTIN CHOI SAMPEDRO C.R.N.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 3011353 |
Most Important Dates
| Enumeration Date: | 03/17/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
200 E CHESTNUT ST
LOUISVILLE
KY
402021831
Practice Location Phone/Fax
| Phone: | 2146870001 |
| Fax: |
Provider Mailing Location
5899 WINDING RIVER WAY
APT#304
MEMPHIS
TN
381202915
Provider Mailing Phone/Fax
| Phone: | 2057063536 |
| Fax: |