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NPI 1831156983 · live from the CMS NPI Registry

Joseph S Bennett, PA

Physician Assistant in Muskogee, OK. National Provider Identifier 1831156983, active.

NPI record

NPI1831156983 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location615 S 32nd St, Muskogee, OK 74401
Practice phone918-687-3994
EnumeratedMay 1, 2006
Last updatedFebruary 17, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X718 (OK)

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