Organization
RICARDO M. BENNETT DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO BENNETT D.P.M. (DOCTOR)
(703) 538-5111
Entity
Organization
Contact information
Practice address
5275 LEE HWY, SUITE 303, ARLINGTON, VA 22207-1619
(703) 538-5111
(703) 538-4193
Mailing address
5275 LEE HWY, SUITE 303, ARLINGTON, VA 22207-1619
(703) 538-5111
(703) 538-4193
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271860
ANTHEM-VA
VA
Enumeration date
11/22/2006
Last updated
04/20/2008
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