Individual
BENJAMIN ROBERT MACQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40601 N GANTZEL RD STE 103, SAN TAN VALLEY, AZ 85140-7036
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44763
AZ
Other
Enumeration date
05/18/2007
Last updated
04/23/2021
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