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Individual

BENJAMIN KENT DOTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-7233
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-7233

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72647
AZ
207P00000X
Emergency Medicine Physician
R78584
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72647
STATE MEDICAL LICENSE
AZ
Enumeration date
04/21/2021
Last updated
06/26/2024
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