NPI 1215496575

Benjamin Douglas, PHYSICIANASSISTANT

Practitioner Physician Assistant Apo, AP

Practice location

Address: Unit 5071 Box Mdg, Apo, AP 96328-5071
Phone: (315) 225-5207

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1215496575
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2019
Record last updated: 19 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.