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Individual

BRETT RUSSELL BENNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
214 14TH AVE SW, SUITE 101, SIDNEY, MT 59270
(406) 488-2380
(406) 488-2382
Mailing address
214 14TH AVE SW, SUITE 101, SIDNEY, MT 59270
(406) 488-2380
(406) 488-2382

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
8624
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000018941
BLUE CROSS
MT
05
0015759
MT
01
040014113
RAILROAD MEDICARE
05
10976
ND
01
18595
BLUE CROSS
ND
Enumeration date
10/23/2006
Last updated
12/09/2022
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