Organization
BENNETT SPANISH SPRINGS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE STARR BENNETT M.D. (SECRETARY TREASURER)
(775) 355-3208
Entity
Organization
Contact information
Practice address
3380 N TRUCKEE LN, SPARKS, NV 89434-1570
(775) 355-3208
Mailing address
3380 N TRUCKEE LN, SPARKS, NV 89434-1570
(775) 355-3208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010-1001925939
NV
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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