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Individual

WILLIAM F BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 293-8315
Mailing address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 293-8315

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35041133
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0613723
OH
Enumeration date
05/12/2006
Last updated
11/01/2017
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