MARK BENNETT, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1871859223

Practice Address

4403 HARRISON BLVD
SUITE 1815
Ogden, UT 84403

Phone: (801) 387-6520

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 8134401-8906 (UT)
Physician Assistant - Surgical 363AS0400X Yes 8134401-1206 (UT)

Frequently Asked Questions

NPI 1871859223 is the National Provider Identifier for MARK BENNETT, PA-C, a Physician Assistant - Surgical provider located in Ogden, UT. This NPI was enumerated on April 10, 2012.
MARK BENNETT, PA-C practices at 4403 HARRISON BLVD, SUITE 1815, Ogden, UT 84403.

Quick Facts

NPI
1871859223
Type
Individual
Enumerated
Apr 10, 2012
Last Updated
Sep 9, 2019

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