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NPI 1326252545 · live from the CMS NPI Registry

Ashley W Bennett, MD

Surgery in Boise, ID. National Provider Identifier 1326252545, active.

NPI record

NPI1326252545 Type 1 · individual
StatusActive
Primary specialtySurgery 208600000X
Practice location1070 N Curtis Rd Ste 270, Boise, ID 83706
Practice phone304-617-1511
Mailing address190 E Bannock St, Boise, ID 83712
EnumeratedMay 9, 2007
Last updatedFebruary 19, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medicine207P00000X102881 (MO)
Surgery, Surgical Critical Care2086S0102XMC-0858 (ID)
Surgery primary208600000X102881 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.