Individual
DAVID PAYNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 727-2088
Mailing address
PO BOX 3870, SALT LAKE CITY, UT 84110-3870
(801) 727-2088
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13985107-1205
UT
Other
Enumeration date
04/10/2019
Last updated
08/29/2024
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