Daniel Bennett MD PA

NPI #1619381407 in Jonesboro, Arkansas

Provider Information

NPI Number
1619381407
Entity Type
Organization
Organization Name
Daniel Bennett MD PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 19, 2014
Last Updated
Jun 19, 2014

Practice Location

Address
1811 EXECUTIVE SQ
ZIP Code
72401-6086
Phone
(870) 932-6883

Authorized Official

Name
MR. DANIEL BRUCE BENNETT
Title
DIRECTOR
Phone
(870) 932-6884

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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