Individual provider · Type 1 NPI

Ethan Michael Benning, MD

Surgery Physician · Rio Rancho, NM

NPI number 1104168582 Active

Practice location

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144

Call (505) 994-7000 Map

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Other practice locations

  • 1100 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1329 · (304) 241-1100
  • 1100 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1329 · (304) 241-1100
  • 2040 W Charleston Blvd Ste 302, Las Vegas, NV 89102-2230 · (702) 671-2273

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X27993 (WV)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000XMD2019-0664 (NM)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1104168582

Ethan Michael Benning, MD's National Provider Identifier is 1104168582, issued on Mar 22, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Rio Rancho, NM. The record was last updated on Jan 3, 2025.