Individual
DR. MOSES BENAIAH BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HIGHWAY 68 AT TOPAWA ROAD, SELLS, AZ 85634-5327
(520) 383-7251
Mailing address
319 BIRCHWOOD LN, SEVIERVILLE, TN 37862-5327
(865) 385-0001
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD 0000040290
TN
Other
Enumeration date
06/02/2011
Last updated
10/26/2021
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