Individual
BERKLEY H BENNESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3099 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6903
(480) 945-3535
(480) 994-8179
Mailing address
3099 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6903
(480) 945-3535
(480) 994-8179
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231530
—
AZ
Enumeration date
08/30/2005
Last updated
12/22/2016
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