Individual
MARIE BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1260 S CAMPBELL RD, GREEN VALLEY, AZ 85614-0502
(520) 625-3691
(520) 625-2894
Mailing address
81 W ESPERANZA BLVD, STE 201, GREEN VALLEY, AZ 85614-2667
(520) 625-4401
(520) 625-8504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879091
—
AZ
Enumeration date
11/14/2005
Last updated
01/17/2012
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