Anthony A Bennett M D P C
Radiology, Diagnostic Radiology in Southfield, MI. Organization (NPI-2).
NPI number1316994213
StatusActive
Last updated in NPPESMar 8, 2011
Details
- NPI
- 1316994213
- Entity type
- Organization (NPI-2)
- Legal business name
- Anthony A Bennett M D P C
- Organization subpart
- No
- Enumeration date
- May 27, 2006
- Last updated
- Mar 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | ab063302 | MI | Yes |
| 2085B0100X | Radiology, Body Imaging | ab063302 | MI | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | ab063302 | MI |
Other names
- Advanced Virtual Radiology PLLC (Doing Business As)
Practice location
29777 Telegraph RdSouthfield, MI 48034-7625
Phone 248-894-8019 · Fax 248-799-0473
Mailing address
441 Franklin Wright BlvdLake Orion, MI 48362-1585
Phone 248-894-8019 · Fax 248-799-0473
Authorized official
Anthony A Bennett
Radiologist
2488948019
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