Individual
BENJAMIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S2
Contact information
Practice address
21817 N 33RD AVE, PHOENIX, AZ 85027-1680
(602) 402-3681
Mailing address
21817 N 33RD AVE, PHOENIX, AZ 85027-1680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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