Individual
CLINT BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1303 S LONGMORE, SUITE #8, MESA, AZ 85202-9607
(480) 649-5297
(480) 539-4685
Mailing address
1303 S LONGMORE, SUITE #8, MESA, AZ 85202-9607
(480) 649-5297
(480) 539-4685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7279
AZ
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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