BENNETT CLINIC LLC NPI 1316236995

NPI Information

BENNETT CLINIC LLC is a customized equipment durable medical equipment medical supplies in Prescott Valley, AZ. BENNETT CLINIC LLC NPI is 1316236995. The provider is registered as an organization entity type.

The provider's business location address is:

7876 E FLORENTINE RD
PRESCOTT VALLEY, AZ
ZIP 86314-216
Phone: (928) 772-7200
Fax: (928) 772-7779

The provider's authorized official is Wayne A Bennett .
The authorized official title is Owner/manager and has the following contact phone number (928) 772-7200.

The CLIA number assigned to this NPI record is 03D2074169 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 4/4/2011.

Taxonomy Codes

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Other Identifiers

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