Individual
SUZANNE BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1635 N GREENFIELD RD, #134, MESA, AZ 85205-4005
(480) 854-7123
(480) 854-7627
Mailing address
1635 N GREENFIELD RD, #134, MESA, AZ 85205-4005
(480) 854-7123
(480) 854-7627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080134177
MEDICARE RAILROAD
AZ
01
—
120947
HEALTHNET
AZ
01
—
4656562
AETNA
AZ
01
—
6044688
CIGNA
AZ
01
—
AZ0390840
BCBS
AZ
Enumeration date
07/07/2006
Last updated
01/21/2011
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