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DR. LUKE ANTHONY BENNETT MD

Pain Medicine >> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447543772

Individual Registrant:
DR. LUKE ANTHONY BENNETT MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
620 N MAIN ST  HARRISON, AR 72601-2911 US
Tel: 870-414-5255  Fax: 870-414-5995

Contact information for business:
620 N MAIN ST  HARRISON, AR 72601-2911 US
Tel: 870-414-5255  Fax: 870-414-5995

Registration Information:
NPI: 1447543772
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207LP2900XAllopathic & Osteopathic Physicians
Anesthesiology
Pain Medicine
ARE-9821
N207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
KYR2702

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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