Individual
DR. JAMES ROALD BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 MDG CHIEF, MEDICAL STAFF, 1050 WEST PERIMETER RD, ANDREWS AFB, MD 20762-6601
(240) 857-8811
Mailing address
79 MDG CHIEF, MEDICAL STAFF, 1050 WEST PERIMETER RD, ANDREWS AFB, MD 20762-6601
(240) 857-8811
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
M-6004
ID
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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