Zachary Mark Bennett BC-HIS

NPI 1376875179 - Hearing Instrument Specialist - 237700000X

NPI Details
NPI 1376875179
Gender Male
Enumeration Date 02/03/2010
Last Updated 02/03/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
50 S BROADWAY AVE
SUITE B
BOISE ID, 83702-7283, US
Phone (208) 377-3179
Fax
Business Location
11250 W ROSE LAKE ST
STAR ID, 83669-5885, US
Phone (208) 936-0333
Fax
Toxanomy
Taxonomy Code 237700000X
License State Idaho
License Number HA-1106
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According to our database, Mr. Zachary Mark Bennett BC-HIS NPI is 1376875179, taxonomy code is 237700000X and license number is HA-1106, license state is located at Idaho. Zachary Mark Bennett BC-HIS physically located at 50 S Broadway Ave, Boise ID, 83702-7283. NPI Number Zachary Mark Bennett BC-HIS has the Individual type.

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1376875179 NPI number is provided on an as is basis without warranty of any kind. 1376875179 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Mark Bennett BC-HIS are for informational purposes only.