Organization
TIMOTHY S BENNER, DC, PC
Active
Other names
Benner Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY S BENNER D.C. (DOCTOR)
(602) 870-3353
Entity
Organization
Contact information
Practice address
10910 N TATUM BLVD, 103, PHOENIX, AZ 85028-3080
(602) 870-3353
Mailing address
10910 N TATUM BLVD, 103, PHOENIX, AZ 85028-3080
(602) 870-3353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4210
AZ
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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