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Individual
DR. DONALD RICHARD BENNETT
Active
Individual
DR. DONALD RICHARD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01047400A
IN
2086S0102X
Surgical Critical Care Physician
D0070559
TN
2086S0102X
Surgical Critical Care Physician
Primary
ME124502
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0104700A
IN
Other
Enumeration date
11/13/2006
Last updated
10/24/2019
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