Doctor Name: | JAMES BENSON-VALDES |
NPI Number: | 1003237462 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP-BC |
License Number: | AP7471 |
Business Practice Address: | 2650 E Show Low Lake Rd Suite 1 Show Low, AZ - 859017955 |
Business Phone Number: | 9285374300 |
Business Fax Number: | 9285374320 |
Mailing Address: | 860 E Pine Oaks Dr, SHOW LOW |
State: | AZ |
Postal Code: | 859017320 |
Phone Number: | 3059928095 |
Fax Number: | 8563249405 |
NPI Enumeration Date: | 01/02/2014 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP7471 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |