Individual provider · NPI-1

Joseph S Bennett, PA

Physician Assistant · Muskogee, OK

NPI number1831156983
StatusActive
Last updated in NPPESFeb 17, 2010

Details

NPI
1831156983
Entity type
Individual (NPI-1)
Name
Joseph S Bennett
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2006
Last updated
Feb 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant718OKYes

Practice location

615 S 32nd St
Muskogee, OK 74401-5012

Phone 918-687-3994 · Fax 918-687-1809

Mailing address

615 S 32nd St
Muskogee, OK 74401-5012

Phone 918-687-3994 · Fax 918-687-1809

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