Individual
DR. DONNA S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 368-0575
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
188298-1205
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
188298
UT
Other
Enumeration date
07/10/2006
Last updated
09/26/2024
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