Organization
DERMATOLOGY NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E BENNETT M.D. (OWNER)
(520) 544-2211
Entity
Organization
Contact information
Practice address
1845 W ORANGE GROVE RD, SUITE 101, TUCSON, AZ 85704-1134
(520) 544-2211
(520) 544-2277
Mailing address
1845 W ORANGE GROVE RD, SUITE 101, TUCSON, AZ 85704-1134
(520) 544-2211
(520) 544-2277
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17914
AZ
Other
Enumeration date
03/20/2008
Last updated
04/11/2008
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