Individual
MICHELLE SUZANNE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE RM 4401, TUCSON, AZ 85724-5058
(520) 626-7221
(520) 626-2247
Mailing address
2701 E ALTADENA AVE, PHOENIX, AZ 85028-1804
(602) 327-6742
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R3130
AZ
208600000X
Surgery Physician
R3130
AZ
Other
Enumeration date
04/10/2019
Last updated
06/24/2020
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