Individual
DR. BENJAMIN G DIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER OF STEWART AND BRELAND, STUDENT HEALTH CENTER, BOX 30001 MSC 3529, LAS CRUCES, NM 88003
(505) 646-8308
(505) 646-6428
Mailing address
CORNER OF STEWART AND BRELAND, STUDENT HEALTH CENTER, BOX 30001 MSC 3529, LAS CRUCES, NM 88003
(505) 646-8308
(505) 646-6428
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8234
NM
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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