Individual
DR. BRADLEY VERNON BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 WILLOW CREEK RD STE 3100, PRESCOTT, AZ 86301-1614
(928) 445-4818
(928) 445-4837
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
005884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710932
—
AZ
Enumeration date
06/11/2009
Last updated
02/03/2025
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