Individual
DAVID G. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 PASTURE RD, BLDG 299, FALLON, NV 89496-5000
(775) 426-2220
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00159
NC
363A00000X
Physician Assistant
Primary
PA11796
TX
Other
Enumeration date
12/19/2005
Last updated
07/02/2025
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