Individual
PAUL E BENNETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-1910
Mailing address
3804 RESURRECTION DR, ANCHORAGE, AK 99504-4719
(907) 677-8173
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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