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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALISSA BENNETT

Active Sole Proprietor

MALISSA BENNETT is a Podiatric Surgery healthcare provider located in SAINT LOUIS, Missouri. NPI 1639726276 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · SAINT LOUIS, MO

Registration Details

NPI Number
1639726276
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2019 (7.0010975234708 yrs)
Last Updated
Aug 19, 2019
Sole Proprietor
Yes

Practice Information

Address
2457 WIECK DR
SAINT LOUIS, MO, 631363939
Browse MO providers · Browse ZIP 63136
Phone
3147499818
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in SAINT LOUIS, MO

Name Credential NPI
ARLENE WILLIAMS 1386012490
KEWANA M BROWN EXECUTIVE CODIRECTOR 1285153445
BILL DEAN RICHARDS 1154978245
DOROTHY J LANGELLA 1366099392
ADRIA MARIE MCKENNA 1669017331
DAISY MATTHEWS 1376175851
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.