# BENNETT SPANISH SPRINGS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1790829471
- **Authorized official:** DR. KATHARINE STARR BENNETT M.D. (SECRETARY TREASURER)
- **Authorized official phone:** (775) 355-3208

## Contact information

- **Practice address:** 3380 N TRUCKEE LN, SPARKS, NV 89434-1570
- **Practice address phone:** (775) 355-3208
- **Mailing address:** 3380 N TRUCKEE LN, SPARKS, NV 89434-1570
- **Mailing address phone:** (775) 355-3208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 010-1001925939 | NV | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/22/2020