KIRK BENNETT

MESA, AZ
NPI1194382077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  62204)
Additional Taxonomies363A00000X Physician Assistant
(Licence: AZ  9503)
363A00000X Physician Assistant
(Licence: MI  5601009199)
Enumeration Date2019-05-25
Last Update Date2024-06-28
Business Address
KIRK BENNETT PA-C
835 W UNIVERSITY DR
MESA, AZ 85201-5555
Phone number: 480-664-6007
Mailing Address
KIRK BENNETT PA-C
835 W UNIVERSITY DR
MESA, AZ 85201-5555
Phone number: