Individual
DR. MIGNON F BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
641 WEST WILLOUGHBY AVE, SUITE 201, JUNEAU, AK 99801-7809
(907) 586-8100
(907) 586-8102
Mailing address
641 WEST WILLOUGHBY AVE, ST 201, JUNEAU, AK 99801
(907) 586-8100
(907) 586-8102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6882
AK
207Q00000X
Family Medicine Physician
9300421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8915026
—
NC
Enumeration date
09/12/2006
Last updated
08/06/2014
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