# DAVID A BENNETT MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598713463
- **Authorized official:** DR. DAVID A BENNETT MD (OWNER)
- **Authorized official phone:** (509) 292-2001

## Contact information

- **Practice address:** 34705 N NEWPORT HWY, CHATTAROY, WA 99003-7711
- **Practice address phone:** (509) 292-2001
- **Practice address fax:** (509) 292-9744
- **Mailing address:** PO BOX 129, ELK, WA 99009-0129
- **Mailing address phone:** (509) 292-2001
- **Mailing address fax:** (509) 292-9744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 08/22/2020