Benjamin David Ingram, PA

NPI #1750611216 in Eglin Afb, Florida

Provider Information

NPI Number: 1750611216
Entity Type: Individual
Name: Benjamin David Ingram, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 307 BOATNER RD
Address 2: SUITE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542-1282
Phone: (850) 883-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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