Individual
DR. BRADLEY PAUL BENNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13555 W MCDOWELL RD STE 205, GOODYEAR, AZ 85395-2626
(623) 295-1190
(602) 429-8595
Mailing address
13555 W MCDOWELL RD STE 205, GOODYEAR, AZ 85395-2626
(623) 295-1190
(602) 429-8595
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
008427
AZ
Other
Enumeration date
05/09/2016
Last updated
08/05/2021
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