Organization
WAYNE A BENNETT
Active
Other names
Bennett Chiropracitc Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE BENNETT D.C.,D.A.B.C.O. (OWNER)
(928) 771-9400
Entity
Organization
Contact information
Practice address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1400
(928) 771-9400
(928) 771-9464
Mailing address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1400
(928) 771-9400
(928) 771-9464
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
Other
Enumeration date
12/07/2005
Last updated
10/13/2010
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