Micheal A Benamon Valid NPI
Individual provider · Independent Duty Medical Technicians · Fort Rucker, AL
- NPI
- 1972749554
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Medical Technicians (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1003X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-01-02
- Last updated
- 2009-01-02
Practice location
301 Andrews Avenue, Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
(334) 255-7169