Individual
SILAS BLAINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5284 COMMERCE DR STE C164, MURRAY, UT 84107-5336
(801) 281-0890
Mailing address
5284 COMMERCE DR STE C164, MURRAY, UT 84107-5336
(801) 281-0890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
363256-1202
UT
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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