Individual
JOHN O. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4104 WATER OAK PL, VIRGINIA BEACH, VA 23452-2124
(757) 232-1145
Mailing address
100 EMANCIPATION DR, HAMPTON, VA 23667-2124
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3579
CA
Other
Enumeration date
01/29/2008
Last updated
10/25/2016
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