Individual
JEFFREY ALAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Mailing address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
55619
TN
2085R0202X
Diagnostic Radiology Physician
Primary
53980
AZ
2085R0202X
Diagnostic Radiology Physician
55619
TN
2085R0202X
Diagnostic Radiology Physician
ME87320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268368
—
AZ
Enumeration date
02/01/2006
Last updated
02/21/2025
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