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Individual

BRIAN WILLIAM BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10 HOSPITAL DR, SAINT PETERS, MO 63376-1659
(636) 916-9000
Mailing address
78 GILLETTE FIELD CLOSE, WELDON SPRING, MO 63304-0527
(785) 766-4601

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123139
MO

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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