BEN PROM

Physician Assistant

Active Individual
NPI: 1629733415

Practice Address

8505 OLD DAIRY RD
Juneau, AK 99801

Phone: (907) 790-4111

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1629733415 is the National Provider Identifier for BEN PROM, a Physician Assistant provider located in Juneau, AK. This NPI was enumerated on November 5, 2021.
BEN PROM practices at 8505 OLD DAIRY RD, Juneau, AK 99801.

Quick Facts

NPI
1629733415
Type
Individual
Enumerated
Nov 5, 2021
Last Updated
Nov 5, 2021

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