Individual
BENJAMIN ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RIVER RUN DR, MOUNTAIN BRK, AL 35243-4701
(205) 970-2350
Mailing address
1085 JONES CHAPEL LOOP, SPRINGVILLE, AL 35146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1638
AL
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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