Organization
BENJAMIN S STEHOWER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN S STEHOWER (OWNER)
(928) 533-5253
Entity
Organization
Contact information
Practice address
805 WHIPPLE ST, STE A, PRESCOTT, AZ 86301-1617
(928) 533-5253
(928) 777-9183
Mailing address
805 WHIPPLE ST, STE A, PRESCOTT, AZ 86301-1617
(928) 533-5253
(928) 777-9183
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
451060
AZ
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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