| Beneze Medical Group | |
|
3003 Highway 95 Suite G73 Bullhead City AZ 86442-7860 | |
| (928) 758-7700 | |
| (928) 758-5700 |
| Full Name | Beneze Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3003 Highway 95, Bullhead City, Arizona |
| Authorized Official Name and Position | Larry Joseph Keating (VICE PRESIDENT) |
| Authorized Official Contact | 9287587700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beneze Medical Group 3003 Highway 95 Suite G73 Bullhead City AZ 86442-7860 Ph: (928) 758-7700 | Beneze Medical Group 3003 Highway 95 Suite G73 Bullhead City AZ 86442-7860 Ph: (928) 758-7700 |
| NPI Number | 1083659361 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 1557348562 |
|---|---|
| Medicare Enrollment ID | O20040707000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083659361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14102 (Arizona) | Primary |
| Provider Name | Nathan Eric Beneze |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346286325 PECOS PAC ID: 2365635356 Enrollment ID: I20101022000499 |
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