Individual
FORREST BENJAMIN BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-7747
Mailing address
4820 TARANTELLA LN, SAN DIEGO, CA 92130-2468
(760) 887-4762
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R4022
AZ
Other
Enumeration date
05/03/2023
Last updated
07/31/2023
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