Individual
TODD P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0327
(540) 636-0189
Mailing address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0327
(540) 636-0189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101237797
VA
207P00000X
Emergency Medicine Physician
18600
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010288266
—
VA
Enumeration date
07/18/2006
Last updated
11/25/2024
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