Individual
ROLAND D BENIGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
485 S DOBSON RD STE 110, CHANDLER, AZ 85224-5600
(480) 728-4470
(480) 728-4499
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2350
AZ
363AS0400X
Surgical Physician Assistant
Primary
2350
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3993
HEALTHNET
AZ
05
—
501936
—
AZ
Enumeration date
05/03/2007
Last updated
12/13/2024
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