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MR. BENJAMIN R PROTO DPM 1073506291

Overview
Name: MR. BENJAMIN R PROTO DPM Specialty: Foot & Ankle Surgery Podiatrist Type of Practice: Individual provider Provider/Org: Medical School: OTHER Graduation year from medical school: 1998 Affiliation: TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
Specialties
Practice Type: Podiatric Medicine & Surgery Service Providers Classification: Podiatrist Specialization: Foot & Ankle Surgery. PODIATRY Definition of Specialty: Definition to come…
License & NPI
License #(s): 0103300835, 0103300835, , , License State(s): VA, VA, , ,
Addresses
Practice Location: 860 OMNI BLVD,SUITE 113,NEWPORT NEWS,VA,23606,US Mailing Address: 860 OMNI BLVD,SUITE 303,NEWPORT NEWS,VA,23606,US
Contact #
Practice location phone #: 7573270657 Practice location fax #: 7573270658 Mailing address Phone #: 7572328777 Mailing Address fax #: 7572328866 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/23/2005 Last data data was updated: 12/14/2016 Insurances:

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