Individual
DR. WAYNE A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.,D.A.B.C.O.
Contact information
Practice address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1400
(928) 771-9400
(928) 771-9464
Mailing address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1400
(928) 771-9400
(928) 771-9464
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
5009
AZ
Other
Enumeration date
12/07/2005
Last updated
03/04/2011
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