# SAMUEL D. BENJAMIN MD, MD(H), PLLC

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

## Provider details

- **NPI number:** 1801036538
- **Authorized official:** SAMUEL DORIAN BENJAMIN MD (PRESIDENT)
- **Authorized official phone:** (480) 661-1880

## Contact information

- **Practice address:** 15721 N GREENWAY HAYDEN LOOP, \#103, SCOTTSDALE, AZ 85260
- **Practice address phone:** (480) 661-1880
- **Practice address fax:** (480) 661-1890
- **Mailing address:** 15721 N GREENWAY HAYDEN LOOP, \#103, SCOTTSDALE, AZ 85260
- **Mailing address phone:** (480) 661-1880
- **Mailing address fax:** (480) 661-1890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13742 | AZ | Yes |

## Other

- **Enumeration date:** 02/20/2009
- **Last updated:** 07/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063625424 | NPI | AZ |