Bennett Clinic Llc

NPI 1083946586 - Chiropractor - 111NX0800X

NPI Details
NPI 1083946586
Enumeration Date 02/08/2010
Last Updated 03/06/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WAYNE ANTHONY WAYNE
Position DIRECTOR
Phone (928) 771-9400
Fax (928) 771-9464
Practice Location
1202 WILLOW CREEK RD
PRESCOTT AZ, 86301-1428, US
Phone (928) 771-9400
Fax (928) 771-9464
Business Location
1202 WILLOW CREEK RD
PRESCOTT AZ, 86301-1428, US
Phone (928) 771-9400
Fax (928) 771-9464
Toxanomy
Taxonomy Code 111NX0800X
License State Arizona
License Number 5009
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According to our database, Bennett Clinic Llc NPI is 1083946586, taxonomy code is 111NX0800X and license number is 5009, license state is located at Arizona. Bennett Clinic Llc physically located at 1202 Willow Creek Rd, Prescott AZ, 86301-1428. NPI Number 1033115704 has the healthcare provider type.

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1083946586 NPI number is provided on an as is basis without warranty of any kind. 1083946586 is maintained by the National Plan & Provider Enumeration System. The contents of Bennett Clinic Llc are for informational purposes only.