Individual
DANIEL N. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD, PROVO, UT 84604-3311
(801) 357-4600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11277589-1205
UT
207RI0011X
Interventional Cardiology Physician
11277589-1205
UT
Other
Enumeration date
05/25/2011
Last updated
04/29/2026
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