Healthcare Provider Details

I. General information

NPI: 1992108070
Provider Name (Legal Business Name): JOSHUA LAWRENCE BENSON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1618 E PINE ST
SILVER CITY NM
88061-7155
US

IV. Provider business mailing address

PO BOX 344
HIGLEY AZ
85236-0344
US

V. Phone/Fax

Practice location:
  • Phone: 575-342-4546
  • Fax: 480-546-3399
Mailing address:
  • Phone: 575-249-5189
  • Fax: 480-546-3399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA2025-0033
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: