Individual
BENJAMIN R STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2530 E SOUTHERN AVE, MESA, AZ 85204-5411
(480) 834-4188
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301089581
MI
208800000X
Urology Physician
MD427930
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105185131
—
MI
05
—
1693157308
—
MI
01
—
P00888237
RR MEDICARE#
—
Enumeration date
07/07/2006
Last updated
03/21/2025
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