Individual
MR. JASON ELLIOTT BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
740 W ELM ST UNIT 204, PHOENIX, AZ 85013-2461
(602) 200-2020
Mailing address
740 W ELM ST UNIT 204, PHOENIX, AZ 85013-2461
(602) 200-2020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2008
Last updated
08/23/2014
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