Organization
SUZANNE MP BENNETT DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE BENNETT DO (PRESIDENT)
(602) 843-2300
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE BLDG H, STE. 144, GLENDALE, AZ 85308-1260
(602) 843-2300
(602) 843-2310
Mailing address
18275 N 59TH AVE BLDG H, 144, GLENDALE, AZ 85308-1260
(602) 843-2300
(602) 843-2310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3258
AZ
Other
Enumeration date
07/15/2010
Last updated
11/14/2011
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