Individual
DAVID BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5041 CHENOWETH RD, WAYNESVILLE, OH 45068-9174
(513) 549-9223
Mailing address
5041 CHENOWETH RD, WAYNESVILLE, OH 45068-9174
(513) 897-7497
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
033888
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759540
—
OH
Enumeration date
03/01/2007
Last updated
07/06/2010
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