Organization
BRUCE A BETHANCOURT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A BETHANCOURT MD (OWNER PHYSICIAN)
(602) 254-1429
Entity
Organization
Contact information
Practice address
4400 N 32ND ST STE 140, PHOENIX, AZ 85018-3964
(602) 254-1429
(602) 778-3513
Mailing address
5922 E CHENEY DR, PARADISE VALLEY, AZ 85253-3574
(602) 778-6789
(602) 778-3513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12752
AZ
Other
Enumeration date
05/07/2007
Last updated
11/13/2007
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