Individual
BENJAMIN PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
58518
AZ
2086S0120X
Pediatric Surgery Physician
MT200160
PA
Other
Enumeration date
08/12/2011
Last updated
08/09/2019
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