MR. Corry Benson Haxton

NPI #1699964676 in Centerville, Ohio

Provider Information

NPI Number: 1699964676
Entity Type: Individual
Name: MR. Corry Benson Haxton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 16, 2007
Last Updated: Oct 16, 2007

Practice Location

Address: 6122 FIRESIDE DR
Address 2: APT B
City: Centerville
State: Ohio
ZIP Code: 45459-2035
Phone: (937) 723-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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