Provider Demographics
NPI:1801415930
Name:BENSON, ALICIA MEIGH (DO)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MEIGH
Last Name:BENSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 N 68TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5312
Mailing Address - Country:US
Mailing Address - Phone:480-321-9464
Mailing Address - Fax:
Practice Address - Street 1:BANNER DEL WEBB MEDICAL CENTER
Practice Address - Street 2:14502 W MEEKER BLVD
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85375
Practice Address - Country:US
Practice Address - Phone:623-524-8814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ010369207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine