Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAIALISA BENNETT
ActiveMAIALISA BENNETT is a Podiatric Surgery healthcare provider located in IDAHO FALLS, Idaho. NPI 1265211353 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1265211353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2023 (2.8946856436144 yrs)
- Last Updated
- Sep 27, 2023
Practice Information
- Address
-
2290 ROBB STIDAHO FALLS, ID, 834022969Browse ID providers · Browse ZIP 83402
- Phone
- 2085205406
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.