-- SHANON DIONE BENNETT -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1013979079- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1731 W RIDGEWAY AVE STE 100, WATERLOO, IA, 507014591
- Phone
- (319) 833-5888
- Fax
- (319) 833-5891
Specialties & Taxonomies
Physician Assistant, Medical
License: NC #001000136
Physician Assistant
Primary License: IA #001016