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Individual

BENJAMIN JAMES MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-7235
(801) 213-2704
(801) 585-2891
Mailing address
2113 PHYSICIANS OFFICE BUILDING, 170 MANNING DRIVE, CB 7235, CHAPEL HILL, NC 27599-7235
(919) 834-9014

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11781995-1205
UT

Other

Enumeration date
04/20/2015
Last updated
04/13/2022
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