Individual
CALLI BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4221 N 20TH ST APT 2, PHOENIX, AZ 85016-5452
(385) 539-9913
Mailing address
4221 N 20TH ST APT 2, PHOENIX, AZ 85016-5452
(385) 539-9913
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
04/03/2023
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