Individual
AVERI TAYLOR BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 NE 10TH ST # 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Mailing address
825 NE 10TH ST # 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4860
OK
Other
Enumeration date
09/30/2022
Last updated
04/14/2023
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