Individual
DR. SARITA L BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
RR 2 BOX 386, MARLINTON, WV 24954-9743
(304) 799-0011
(304) 799-0035
Mailing address
RR 2 BOX 386, MARLINTON, WV 24954-9743
(304) 799-0011
(304) 799-0035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1755
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4902001000
—
WV
05
—
4902001001
—
WV
05
—
5600573000
—
WV
Enumeration date
07/07/2005
Last updated
03/06/2012
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