Individual
MR. NATHAN BENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N RIM DR, SUITE C, FLAGSTAFF, AZ 86001-3128
(928) 774-8201
(928) 779-6139
Mailing address
1300 N RIM DR, SUITE C, FLAGSTAFF, AZ 86001-3128
(928) 774-8201
(928) 779-6139
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11943
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204777
—
AZ
Enumeration date
03/17/2006
Last updated
07/08/2007
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