Individual
DR. JOHN P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S WHITE ST, SUITE ONE, MT PLEASANT, IA 52641-2600
(319) 385-6700
(319) 385-6703
Mailing address
501 S WHITE ST, SUITE ONE, MT PLEASANT, IA 52641-2600
(319) 385-6700
(319) 385-6703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26479
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010124
—
IA
Enumeration date
10/31/2006
Last updated
10/12/2007
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