Search › Utah › 207ZP0102X
Jason Bennett, MD
NPI 1386755809 · on the registry since 2006
Practice
- Address
- 15 N Medical Dr Ste 1100
Salt Lake City, UT 84112 - Phone
- (801) 581-2121
- Clinicians at this address
- 46
Additional practice sites
- 601 Main St, Dunedin, FL
- 1514 Jefferson Hwy, New Orleans, LA
- 122 12th St, Princeton, WV
- 119 Oakfield Dr, Brandon, FL
- 122 12th St, Princeton, WV
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
207ZP0102X
207ZP0102X
207ZP0102X - Licence states on file
- PA, LA, WV, FL, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah