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NPI Code Detail

MEDICARE: RICHARD C BENNETT II D.P.M.

MEDICARE: RICHARD C BENNETT II D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist284AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407907926
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD C BENNETT II D.P.M.
Provider Business Mailing Address
First Line : PO BOX 1848
Second Line :
City : MENA
State : AR
Zip : 71953-1841
Country : US
Telephone Number : 479-437-3449
Fax Number : 479-243-0285
Provider Business Practice Location Address
First Line : 208 MCAULEY CT STE B
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6344
Country : US
Telephone Number : 888-710-8220
Fax Number : 866-573-0761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 05/27/2023

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