Individual
DAVID JOHN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
14502 WEST MEEKER BOULEVARD, SUN CITY WEST, AZ 85375
(623) 214-4000
Mailing address
2100 POWELL STREET, STE. 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714099
—
AZ
Enumeration date
05/20/2006
Last updated
02/01/2008
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