Individual
CHRISTOPHER BENGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.H.S.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
40778
AZ
207R00000X
Internal Medicine Physician
40778
AZ
Other
Enumeration date
06/29/2007
Last updated
09/08/2010
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