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NPI Verification

National Provider Identifier: 1588036396

Andrew Leon Bennett, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1441 NE 10TH AVE

PAYETTE, ID 836615420

Phone: 208-642-9376

NPI Enumeration Date

October 21, 2015

NPI Number

1588036396

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
Andrew Bennett, M.d. - NPI 1588036396 | Provider Verification | HormoneMap