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Organization
BENNETT J EZEKIEL MD PLLC
Active
Organization
BENNETT J EZEKIEL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN BILLINGS (CREDENTIALING)
(412) 655-4362
Entity
Organization
Contact information
Practice address
351 SETON PKWY, ROUND ROCK, TX 78665-8001
(512) 541-9217
Mailing address
PO BOX 791, CARNEGIE, PA 15106-0791
(412) 655-4362
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
02/24/2020
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