Individual
BENJAMIN ROBIN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
764 N 100 W APT 2, LOGAN, UT 84321-8006
(435) 590-8799
Mailing address
764 N 100 W APT 2, LOGAN, UT 84321-8006
(435) 590-8799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
76136344810
UT
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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