Organization
JAMES E BENNETT MD PC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E BENNETT MD (OWNER)
(337) 332-6362
Entity
Organization
Contact information
Practice address
1921 W HOSPITAL DR, TUCSON, AZ 85704-7806
(337) 332-6362
(337) 332-6071
Mailing address
PO BOX 35862, TUCSON, AZ 85740-5862
(337) 332-6362
(337) 332-6071
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884701
—
AZ
01
—
AZ0758440
BCBS OF AZ
—
Enumeration date
09/15/2006
Last updated
06/20/2016
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