Individual
DR. ROBERT U BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3000
(417) 875-3176
Mailing address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3000
(417) 875-3176
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R5749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200405116
—
MO
01
—
R5749
STATE LICENSE
MO
Enumeration date
12/14/2005
Last updated
09/20/2012
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