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Individual

DR. BENTON M ONEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 870-6353
Mailing address
6702 E REDFIELD RD, SCOTTSDALE, AZ 85254-3343
(602) 369-0359

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24380
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36751702
AZ
Enumeration date
07/03/2006
Last updated
07/08/2007
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