Individual
BENNET E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39580 S LAGO DEL ORO PKWY, TUCSON, AZ 85739-1091
(520) 591-3760
Mailing address
2455 E MIRAVAL PRIMERO, TUCSON, AZ 85718-3035
(520) 591-3760
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23871
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335465
—
AZ
Enumeration date
09/30/2005
Last updated
09/13/2019
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