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Individual

AUSTIN R BENNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3160
(801) 475-3161
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9275607-4405
UT

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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