Individual
BENNIE WILLIAM MUSCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1917 SOUTH CRISMON ROAD, MESA, AZ 85206
(480) 610-7100
(480) 610-7115
Mailing address
1917 SOUTH CRISMON ROAD, MESA, AZ 85206
(480) 610-7100
(480) 610-7115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42575
AZ
207Q00000X
Family Medicine Physician
6633
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11681
BCBS
ND
05
—
17619
—
ND
Enumeration date
06/29/2006
Last updated
09/09/2013
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