Individual
MICHEAL A BENAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7169
(334) 255-7173
Mailing address
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7169
(334) 255-7173
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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