STEPHANIE ANN BENNINGTON

OMAHA, NE
NPI1619453040
Former NameSTEPHANIE ANN SAVALA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NE  8352)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  036167028)
Enumeration Date2018-07-18
Last Update Date2023-10-13
Business Address
STEPHANIE ANN BENNINGTON DO
9623 M ST
OMAHA, NE 68127-2007
Phone number: 531-999-6004
Mailing Address
STEPHANIE ANN BENNINGTON DO
1650 S TOPAZ WAY
MERIDIAN, ID 83642-4474
Phone number: 208-605-7070