Individual
BENJAMIN HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 2ND STREET, CORDOVA, AK 99574-2290
(907) 424-3622
(907) 424-3275
Mailing address
705 2ND STREET, CORDOVA, AK 99574-2290
(907) 424-3622
(907) 424-3275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139968
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
09/01/2021
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