# BENITA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326263773
- **Authorized official:** DR. RAY MORRIS III M.D, (OWNER)
- **Authorized official phone:** (801) 973-7636

## Contact information

- **Practice address:** 3465 PIONEER PKWY, STE 2, WEST VALLEY CITY, UT 84120-2076
- **Practice address phone:** (801) 963-7636
- **Practice address fax:** (801) 963-8130
- **Mailing address:** 3465 S 4155 W, STE 2, WEST VALLEY CITY, UT 84120
- **Mailing address phone:** (801) 963-7636
- **Mailing address fax:** (801) 963-8130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 932651751205 | UT | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020