Individual
DR. STEPHEN HIGGS BENNETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 E 3900 S, SUITE 201, SALT LAKE CITY, UT 84124-1100
(801) 266-4212
(801) 266-4974
Mailing address
1045 E 3900 S, SUITE 201, SALT LAKE CITY, UT 84124
(801) 266-4212
(801) 266-4974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1642451205
UT
Other
Enumeration date
02/02/2006
Last updated
09/27/2010
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