Individual
CHARLES F BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PMG ISLETA, 3436 ISLETA BLVD SW, ALBUQUERQUE, NM 87105
(505) 462-7777
(505) 462-7880
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81-15
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28985
—
NM
Enumeration date
10/13/2006
Last updated
08/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us