NPI Profile for SYDNEY BENAVIDEZ in PROVO, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1770373896 |
|
| Status | Active | |
| Credentials | MPAS | |
| Entity | Individual | |
| Enumeration date | 05/12/2025 | |
| Last updated | 04/13/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SYDNEY BENAVIDEZ
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