Individual
ANTHONY JOSEPH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
222 W THOMAS RD, PHOENIX, AZ 85013-4419
(602) 406-4772
Mailing address
7332 E BUTHERUS DR HNGR 1, SCOTTSDALE, AZ 85260-8005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6876
AZ
Other
Enumeration date
09/05/2017
Last updated
03/17/2018
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