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

MARK KENNETH BENNETT, PA-C

Active

MARK KENNETH BENNETT, PA-C is a Surgical Physician Assistant healthcare provider located in OGDEN, Utah. NPI 1871859223 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · OGDEN, UT

Registration Details

NPI Number
1871859223
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2012 (14.3082151483 yrs)
Last Updated
Sep 9, 2019
Licenses
8134401-8906 (UT)
8134401-1206 (UT)

Practice Information

Address
4403 HARRISON BLVD
SUITE 1815
OGDEN, UT, 844033339
Browse UT providers · Browse ZIP 84403
Phone
8013876520
Fax
8013876525
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in OGDEN, UT

Name Credential NPI
DANIEL MORRIS PA C 1427018522
KENNETH ALLEN GARCIA PA-C 1154413235
MR. RICHARD DIX CLOWARD PA-C 1407074461
JAMES URIAH JOSEPH PA-C 1720315252
MR. BRETT RONALD DILLE PA-C 1407296809
DUSTIN JAY SILER PA-C 1881062370
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.