Individual provider · NPI-1

Laura Bennett, P.A.

Physician Assistant, Medical · Helena, MT

NPI number1023010717
StatusActive
Last updated in NPPESJul 28, 2016

Details

NPI
1023010717
Entity type
Individual (NPI-1)
Name
Laura Bennett
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2005
Last updated
Jul 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical267MTYes

Practice location

3330 Ptarmigan Ln
Helena, MT 59602-0521

Phone 406-457-4180

Mailing address

Po Box 6369
Helena, MT 59604-6369

Phone 406-447-2823 · Fax 406-447-2825

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