Individual
RAEL A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 832-5702
Mailing address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 832-5702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25551
AZ
208M00000X
Hospitalist Physician
Primary
25551
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572679
—
AZ
Enumeration date
05/10/2006
Last updated
09/28/2015
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