Individual
BENJAMIN O'NEAL PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0945
(602) 933-4263
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
48714
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921586
—
AZ
Enumeration date
06/08/2010
Last updated
03/21/2024
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