Individual
BENJAMIN LEVI THUESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 562-3321
Mailing address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 562-3321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9964
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2023
Last updated
11/14/2023
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