John Michael Benavidez M.D.

NPI 1659686046 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1659686046
Gender Male
Enumeration Date 08/10/2010
Last Updated 01/06/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
121 EL PASO RD
LINCOLN COUNTY MEDICAL COMPLEX
RUIDOSO NM, 88345, US
Phone (575) 630-8350
Fax (575) 630-4237
Business Location
PO BOX 26666
PRESBYTERIAN HEALTHCARE SERVICES - PROVIDER ENROLLMENT
ALBUQUERQUE NM, 87125-6666, US
Phone (505) 923-6770
Fax
Toxanomy
Taxonomy Code 390200000X
License State Arizona
License Number 23315
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According to our database, Dr. John Michael Benavidez M.D. NPI is 1659686046, taxonomy code is 390200000X and license number is 23315, license state is located at Arizona. John Michael Benavidez M.D. physically located at 121 El Paso Rd, Ruidoso NM, 88345. NPI Number John Michael Benavidez M.D. has the Individual type.

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1659686046 NPI number is provided on an as is basis without warranty of any kind. 1659686046 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Benavidez M.D. are for informational purposes only.