Organization
CLINTON A BENNION DC, PLC
Active
Other names
Fiesta Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT BENNION DC (OWNER CHIROPRACTOR)
(480) 649-5297
Entity
Organization
Contact information
Practice address
1303 S LONGMORE STE 8, MESA, AZ 85202-9607
(480) 649-5297
(480) 649-1790
Mailing address
1303 S LONGMORE STE 8, MESA, AZ 85202-9607
(480) 649-5297
(480) 649-1790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7279
AZ
Other
Enumeration date
06/21/2007
Last updated
08/08/2008
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