Jeffrey Green Bennion in North Logan - Plastic Surgery Within The Head & Neck
Jeffrey Green Bennion - NPI 1396731469
Jeffrey Green Bennion is a Plastic Surgery Within The Head & Neck in North Logan, Utah. Jeffrey Green Bennion practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Jeffrey Green Bennion is 1396731469. The last update date is 2023-03-07.
Jeffrey Green Bennion's current location address is 2245 N 400 E, North Logan, Utah. You can contact this provider via phone number 4357537880 and fax number 4357535845. The mailing address for Jeffrey Green Bennion is 2245 N 400 E, North Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Green Bennion |
|---|---|
| Address | 2245 N 400 E, North Logan, Utah |
| Phone Number | 4357537880 |
| Fax Number | 4357535845 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396731469 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2245 N 400 E |
|---|---|
| City | North Logan |
| State | Utah (UT) |
| Post Code | 843411892 |
| Phone Number | 4357537880 |
| Fax Number | 4357535845 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 274201-1205 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7054 | ID | IDAHO BOARD OF PHARMACY | |
| 274201-9915 | UT | UTAH CONTROLLED SUBSTANCE | |
| M-6924 | ID | IDAHO STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Green Bennion by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Green Bennion has been assigned the NPI (National Provider Identifier) 1396731469. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jeffrey Green Bennion is physically located?
The Jeffrey Green Bennion is physically situated at the following address: 2245 N 400 E, North Logan, UT, 843411892.
What is Jeffrey Green Bennion's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Green Bennion's area of specialization is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this field of practice is 207Yx0007X.
When did Jeffrey Green Bennion receive its 1396731469 assignment?
The Jeffrey Green Bennion was assigned its 1396731469 on 2005-09-23, which is the date when this unique identifier was issued to the organization.
When was the information related to Jeffrey Green Bennion most recently updated or refreshed?
The details pertaining to the Jeffrey Green Bennion, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.