DANICA BENNETT PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1962874446- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 962 SAGE DR, CEDAR CITY, UT, 847201885
- Phone
- (435) 865-3440
Specialties & Taxonomies
Physician Assistant
License: AZ #6256
Physician Assistant
Primary License: UT #13578492-1206
All Addresses
MAILING
PO BOX 27128
SALT LAKE CITY, UT, 841270128