Organization
BENJAMIN L STRADLING DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN LOUIS STRADLING DO (OWNER)
(480) 776-7560
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
625 N GILBERT RD STE 101, GILBERT, AZ 85234-4609
(480) 889-6598
(480) 275-3538
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
005042
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821117912
INDIVIDUAL NPI
—
05
—
388663
—
AZ
Enumeration date
01/10/2011
Last updated
01/10/2011
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