Individual
BENJAMIN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10238 E HAMPTON AVE STE 506, MESA, AZ 85209-3321
(480) 834-7546
Mailing address
10238 E HAMPTON AVE STE 506, MESA, AZ 85209-3321
(480) 834-7546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010981
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2021
Last updated
06/14/2024
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