Individual ProviderSean Bennett CooleyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19555 N 59th Ave, Glendale, AZ 85308-6813(623) 572-3200PECOS EnrollmentBased on the most recent information from CMS, provider Sean Bennett Cooley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1851130868Provider TypeIndividualFull NameCooley, Sean BennettCredentialDPMGenderMaleSole ProprietorNoEnumeration Date5/20/2024Last Updated5/20/2024Contact InformationPractice LocationPractice Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 572-3200FaxUnlisted FaxMailing LocationMailing Address19555 N 59th Ave, Glendale, AZ 85308-6813PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer