Individual
DELANEY ROSE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-2912
(760) 809-0207
Mailing address
1380 E LINDA ROSA AVE, SALT LAKE CITY, UT 84106-2912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14183695-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
02/10/2026
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