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Individual

DR. WILLIAM NEALE BENNETT V

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(210) 916-4355

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
52882
KY
390200000X
Student in an Organized Health Care Education/Training Program
T3459
MS

Other

Enumeration date
03/15/2017
Last updated
07/25/2022
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