BENJAMIN MALLICOAT

ANCHORAGE, AK
NPI1932729662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  01089128A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-22
Last Update Date2024-08-19
Business Address
BENJAMIN MALLICOAT MD
5955 ZEAMER AVE
ANCHORAGE, AK 99506-3702
Phone number: 937-208-2007
Mailing Address
BENJAMIN MALLICOAT MD
5955 ZEAMER AVE
ANCHORAGE, AK 99506-3702
Phone number: