Individual
WILLIAM BENNETT ENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107
(801) 507-7000
Mailing address
3340 N CENTER ST STE 800, LEHI, UT 84043-7406
(650) 315-9598
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11238688-1205
UT
207L00000X
Anesthesiology Physician
A104930
CA
Other
Enumeration date
06/16/2008
Last updated
06/22/2019
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