Individual
BENJAMIN HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 W BUCKEYE RD STE 104, PHOENIX, AZ 85003
(602) 257-8280
(602) 257-7007
Mailing address
515 W BUCKEYE RD STE 104, PHOENIX, AZ 85003-3699
(602) 692-6908
(602) 257-7007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A13378
CA
207W00000X
Ophthalmology Physician
Primary
007053
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007053
AZ LICENSE
AZ
01
—
20A13378
CA LICENSE
CA
Enumeration date
06/20/2014
Last updated
05/15/2018
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