person
Austin Tyler Bennett, DO
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1245972942

Austin Tyler Bennett is a Student in an Organized Health Care Education/Training Program based in Charleston, WV. Austin Tyler Bennett practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Austin Tyler Bennett is 1245972942 and holds a License No. (West Virginia).

The current practice location address for Austin Tyler Bennett is 3200 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-4172 and via fax at 304-388-4155.

Location: 3200 Maccorkle Ave Se, Charleston, WV, 25304-1297
person
Provider Profile Details
NPI Number
1245972942
Provider Name
Austin Tyler Bennett
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3200 Maccorkle Ave Se, Charleston, WV, 25304-1297
Phone Number
304-388-4172
Fax Number
304-388-4155
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304-1297
Phone Number
304-388-4172
Fax Number
304-388-4155
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304-1297
Phone Number
304-388-4172
Fax Number
304-388-4155
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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