Individual
DR. GRANT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 E DAVE WARD DR, CONWAY, AR 72032-7825
(501) 500-3500
(501) 904-3620
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 404-8007
(501) 904-3620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E7329
AR
207X00000X
Orthopaedic Surgery Physician
LL29147
SC
Other
Enumeration date
07/18/2006
Last updated
12/13/2024
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