Individual
GEORGE MARTIN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
870 SOMERSET ST, FARMINGTON, UT 84025-4235
(801) 451-7091
(801) 451-7091
Mailing address
870 SOMERSET ST, FARMINGTON, UT 84025-4235
(801) 451-7091
(801) 451-7091
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
150464-1205
UT
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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