Individual provider · Type 1 NPI
Sally S. Bennett, PA-C
Medical Physician Assistant · Pleasant Hill, IA
NPI number
1700855087
Active
Practice location
5900 E University Ave, Suite 100
Pleasant Hill, IA 50327-8466
Fax (515) 643-4766
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 001630 (IA) |
Medical Physician Assistant: Definition to come...
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About NPI 1700855087
Sally S. Bennett, PA-C's National Provider Identifier is 1700855087, issued on Mar 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pleasant Hill, IA. The record was last updated on Mar 29, 2017.