Organization
PHOENIX UROLOGICAL SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK NILS BENSON DO (PRESIDENT)
(623) 582-6420
Entity
Organization
Contact information
Practice address
19841 N 27TH AVE, SUITE 201, PHOENIX, AZ 85027-4005
(623) 582-6420
(623) 582-6720
Mailing address
19841 N 27TH AVE, SUITE 201, PHOENIX, AZ 85027-4005
(623) 582-6420
(623) 582-6720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
02/06/2014
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