Individual
DAVID BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 S MERCY RD STE 205, GILBERT, AZ 85297-0423
(602) 933-3033
(602) 933-5245
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R71657
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
58274
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
8927677-1205
UT
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD2015-0397
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113628
—
AZ
Enumeration date
07/25/2009
Last updated
07/09/2019
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