Dr. Alva James Bennett
Dermatologist
1845 W Orange Grove Rd Suite 105
Tucson
, Arizona 85704-1134
Dr. Alva James Bennett
Dermatologist
1845 W Orange Grove Rd Suite 105
Tucson
, Arizona 85704-1134
(520) 544-2277
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Alva James Bennett
- 1845 W Orange Grove Rd Suite 105
- Tucson, AZ
- Zip : 85704-1134
- Fax : (520) 544-2277
- Phone : (520) 544-2211
Second Address
- Dr. Alva James Bennett
- 1845 W Orange Grove Rd Suite 105
- Tucson, AZ
- Zip : 85704-1134
- Fax : (520) 544-2277
- Phone : (520) 544-2211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 17914 | AZ |
National Provider Identifier
| NPI | 1033168794 |
|---|---|
| Provider Name | Dr. Alva James Bennett |
| First Address | Tucson, AZ 85704-1134 |
| Second Address | Tucson, AZ 85704-1134 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2006 |
| Last Update Date | 02/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 079625 | (05) | AZ |
| B51496 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.