Individual
RALPH EDWARD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2152 S VINEYARD STE 129, MESA, AZ 85210-6882
(480) 443-8400
(480) 443-8697
Mailing address
4550 E BELL RD, SUITE 172, PHOENIX, AZ 85032-9306
(480) 443-8400
(480) 443-8697
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
13996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247909
—
AZ
01
—
ZWDBCB02
MEDICARE
AZ
Enumeration date
10/31/2005
Last updated
08/18/2022
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