Individual
BENJAMIN ALLEN NATHAN RAYHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5018 N 7TH ST, PHOENIX, AZ 85014-3101
(602) 255-7680
Mailing address
5018 N 7TH ST, PHOENIX, AZ 85014-3101
(602) 255-7680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004354
VA
363A00000X
Physician Assistant
Primary
6682
AZ
Other
Enumeration date
08/23/2013
Last updated
08/27/2019
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