Individual
STEVEN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-5040
(520) 694-0111
Mailing address
1501 N CAMPBELL AVE STE 4401, TUCSON, AZ 85724-5114
(520) 626-7221
(520) 626-6943
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R77905
AZ
207R00000X
Internal Medicine Physician
R77905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R77905
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/18/2020
Last updated
05/05/2021
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