Individual
DAVID F BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 WEST SR 164 NORTH, SALEM, UT 84651
(801) 465-4813
(801) 812-5433
Mailing address
1055 N 500 W, ATTN. CREDENTIALING, PROVO, UT 84604-3305
(801) 429-8000
(801) 429-8150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1644481205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
164448-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00356
UTAH HEALTHCARE
UT
01
—
107006632101
IHC
UT
01
—
110089707
PALMETTO
UT
01
—
36385
DMBA
UT
01
—
5841
PEHP
UT
01
—
870281028BE4
EMIA
UT
01
—
QM0000000037
ALTIUS
UT
Enumeration date
09/11/2006
Last updated
11/27/2023
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