Individual
JOHN DAVID BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
(515) 271-1692
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
(515) 271-1692
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00653
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172239
—
IA
Enumeration date
08/18/2005
Last updated
02/12/2020
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