Individual provider · NPI-1

Dr. Mark R Bennett, M.D.

Anesthesiology · Morgantown, WV

NPI number1851369755
StatusActive
Last updated in NPPESNov 5, 2008

Details

NPI
1851369755
Entity type
Individual (NPI-1)
Name
Dr. Mark R Bennett
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 8, 2006
Last updated
Nov 5, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology13482WVYes

Practice location

101 Stadium Dr
Morgantown, WV 26506-7911

Phone 304-598-4000

Mailing address

Po Box 897
Morgantown, WV 26507-0897

Phone 304-293-7401 · Fax 304-293-6963

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