Individual
DR. BENJAMIN OZBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-5205
Mailing address
1346 MARATHON PT, GLEN ALLAN, MS 38744-9666
(662) 822-9676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30545
MS
Other
Enumeration date
04/26/2019
Last updated
09/18/2022
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