ETHAN BENNING, MD

Surgery

Active Individual
NPI: 1104168582

Practice Address

3001 BROADMOOR BLVD NE
Rio Rancho, NM 87144

Phone: (505) 994-7000

Specialties

Specialty Code Primary License
Surgery 208600000X Yes MD2019-0664 (NM)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1104168582 is the National Provider Identifier for ETHAN BENNING, MD, a Surgery provider located in Rio Rancho, NM. This NPI was enumerated on March 22, 2013.
ETHAN BENNING, MD practices at 3001 BROADMOOR BLVD NE, Rio Rancho, NM 87144.

Quick Facts

NPI
1104168582
Type
Individual
Enumerated
Mar 22, 2013
Last Updated
Jan 3, 2025

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