Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Douglas, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1215496575

Benjamin Douglas, PHYSICIANASSISTANT is a Physician Assistant in APO, Armed Forces Pacific. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Unit 5071 Box Mdg
APO, AP 96328-5071
Phone: (315) 225-5207

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215496575
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 17, 2019
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing addressUnit 5071 Box Mdg, Apo, AP 96328-5071

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