Individual
DANICA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
962 SAGE DR, CEDAR CITY, UT 84720-1885
(435) 865-3440
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13578492-1206
UT
363A00000X
Physician Assistant
6256
AZ
Other
Enumeration date
10/23/2015
Last updated
04/29/2026
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