Paul A Bennett, MD

NPI #1366526600 in Carbondale, Illinois

Provider Information

NPI Number: 1366526600
Entity Type: Individual
Name: Paul A Bennett, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 24, 2006
Last Updated: May 10, 2024

Practice Location

Address: 374 E GRAND AVE # 6740
City: Carbondale
State: Illinois
ZIP Code: 62901-3962
Phone: (618) 453-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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