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Individual
BENJAMIN INGRAHAM
Active
Individual
BENJAMIN INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11275969-1204
UT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
67909
CO
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
125-064513
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/09/2014
Last updated
07/27/2022
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