Individual
RUTH SHERMAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1313 E 32ND ST, SILVER CITY, NM 88061-7251
(575) 538-4000
Mailing address
71 KINGSTON MAIN ST, HILLSBORO, NM 88042
(575) 740-8169
(405) 553-5633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A-1446-08
NM
207Q00000X
Family Medicine Physician
Primary
A-1446-08
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699440M
—
OK
05
—
200067600A
—
OK
05
—
209879709
—
MO
05
—
500156005
—
MO
Enumeration date
02/23/2006
Last updated
10/28/2019
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