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NPI Code Detail

MEDICARE: MR. JOSHUA LAWRENCE BENSON PA-C

MEDICARE: MR. JOSHUA LAWRENCE BENSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA2025-0033NM

General Provider Information

NPI Number : 1992108070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA LAWRENCE BENSON PA-C
Provider Business Mailing Address
First Line : PO BOX 344
Second Line :
City : HIGLEY
State : AZ
Zip : 85236-0344
Country : US
Telephone Number : 575-249-5189
Fax Number : 480-546-3399
Provider Business Practice Location Address
First Line : 1618 E PINE ST
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-7155
Country : US
Telephone Number : 575-342-4546
Fax Number : 480-546-3399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2014
Last Update Date : 10/14/2025

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