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BENJAMIN L STRADLING DO NPI 1356645022


NPI Information

NPI: 1356645022
Provider Name: BENJAMIN L STRADLING DO
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
1301 S CRISMON RD
MESA, AZ
ZIP 85209
Phone: (480) 358-6100
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BENJAMIN L STRADLING DO is a vascular and interventional radiology radiology in Mesa, AZ. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. BENJAMIN L STRADLING DO NPI is 1356645022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 S CRISMON RD
MESA, AZ
ZIP 85209-767
Phone: (480) 358-6100

The provider's authorized official is Benjamin Louis Stradling .
The authorized official title is Owner and has the following contact phone number (480) 776-7560.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional Radiology005042ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1388663MEDICAIDARIZONA
21821117912OTHERINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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