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1407871510
RICHARD BENNETT
SANDY, UT
NPI
1407871510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 1720538905)
Enumeration Date
2006-07-12
Last Update Date
2023-11-27
Business Address
RICHARD BENNETT MD
10965 S STATE ST #100
SANDY, UT 84070-4270
Phone number: 801-572-0311
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Mailing Address
RICHARD BENNETT MD
1055 N 500 W ATTN. CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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