Organization
NORTHERN ARIZONA UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN A. BENSON MD (PRESIDENT)
(928) 774-8201
Entity
Organization
Contact information
Practice address
1300 N RIM DR, SUITE C, FLAGSTAFF, AZ 86001-3128
(928) 779-6139
Mailing address
1300 N RIM DR, SUITE C, FLAGSTAFF, AZ 86001-3128
(928) 779-6139
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204777
—
AZ
05
—
976110
—
AZ
Enumeration date
10/22/2007
Last updated
10/22/2007
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