Individual
DR. BENJAMIN GORDON NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2281
(317) 338-6359
Mailing address
8401 DATAPOINT, SUITE 600, P. O. BOX 29441, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q7091
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
05/06/2016
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