Organization
SAMUEL D. BENJAMIN MD, MD(H), PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DORIAN BENJAMIN MD (PRESIDENT)
(480) 661-1880
Entity
Organization
Contact information
Practice address
15721 N GREENWAY HAYDEN LOOP, #103, SCOTTSDALE, AZ 85260
(480) 661-1880
(480) 661-1890
Mailing address
15721 N GREENWAY HAYDEN LOOP, #103, SCOTTSDALE, AZ 85260
(480) 661-1880
(480) 661-1890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13742
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063625424
NPI
AZ
Enumeration date
02/20/2009
Last updated
07/06/2009
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