Provider Demographics
NPI:1619476942
Name:TOUCEY, BEN J (PA)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:J
Last Name:TOUCEY
Suffix:
Gender:M
Credentials:PA
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8525 E PINNACLE PEAK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3581
Mailing Address - Country:US
Mailing Address - Phone:623-455-6635
Mailing Address - Fax:480-452-1643
Practice Address - Street 1:8525 E PINNACLE PEAK RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3581
Practice Address - Country:US
Practice Address - Phone:623-455-6635
Practice Address - Fax:480-452-1643
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA19954363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant