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NPI Verification

National Provider Identifier: 1083155337

Eric Bennett, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2775 CHANNING WAY

IDAHO FALLS, ID 834047510

Phone: 208-524-0133

NPI Enumeration Date

March 19, 2017

NPI Number

1083155337

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Eric Bennett, M.d. - NPI 1083155337 | Provider Verification | HormoneMap