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Contact Information

BENJAMIN L STRADLING DO
1301 S CRISMON RD
MESA, AZ85209-3767
 Phone: 480-358-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for BENJAMIN L STRADLING DO

NPI # 1356645022
LBN Legal business name BENJAMIN L STRADLING DO
Authorized official BENJAMIN STRADLING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2011
Last updated 01/10/2011 - About 15 years ago
Identifiers
AZ License # 005042
AZ Medicaid 388663
Other 1821117912 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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