Benjamin Lafayette Wirt, PA-C

NPI #1265488209 in Vestavia, Alabama

Provider Information

NPI Number: 1265488209
Entity Type: Individual
Name: Benjamin Lafayette Wirt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 25, 2006
Last Updated: Jul 10, 2018

Practice Location

Address: 2871 ACTON RD STE 100
City: Vestavia
State: Alabama
ZIP Code: 35243
Phone: (205) 716-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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