Individual
BENJAMIN JENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6750 E BAYWOOD AVE STE 301, MESA, AZ 85206-1749
(480) 835-6100
(480) 461-4243
Mailing address
6343 E MAIN ST STE 12, MESA, AZ 85205-8955
(480) 835-6100
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
62485
AZ
390200000X
Student in an Organized Health Care Education/Training Program
BP10047477
TX
Other
Enumeration date
05/02/2013
Last updated
07/01/2022
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