Individual
DR. TIMOTHY S BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10910 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-3080
(602) 870-3353
(602) 870-3380
Mailing address
10910 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-3080
(602) 870-3353
(602) 870-3380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4210
AZ
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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