Individual
DR. JOHN R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3556
(573) 629-3554
Mailing address
6500 HOSPITAL DR, P.O. BOX 1239, HANNIBAL, MO 63401-6890
(573) 629-3556
(573) 629-3554
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2000160468
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205007107
—
MO
Enumeration date
01/11/2006
Last updated
10/07/2016
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