Individual
BENJAMIN HARLAN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W COUGAR BLVD STE 702, PROVO, UT 84604-3333
(801) 357-1700
(801) 357-1709
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.132058
OH
2080P0202X
Pediatric Cardiology Physician
Primary
12868145-1205
UT
2080P0202X
Pediatric Cardiology Physician
35.132058
OH
Other
Enumeration date
04/15/2014
Last updated
11/01/2022
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