Individual
DR. ALEXANDRE MIGUEL BENJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1714 W ANKLAM RD, SUITE #104, TUCSON, AZ 85745-2689
(520) 838-3540
(520) 325-3526
Mailing address
3709 N CAMPBELL AVE, STE 201, TUCSON, AZ 85719-1563
(520) 320-3918
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23004
MS
207RI0011X
Interventional Cardiology Physician
Primary
505941
AZ
207RI0011X
Interventional Cardiology Physician
MD206266
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08985016
—
MS
05
—
2334018
—
LA
Enumeration date
12/22/2007
Last updated
10/03/2017
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