person
Dr. Jeffrey Green Bennion, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in North Logan, Utah
NPI 1396731469

Jeffrey Green Bennion is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in North Logan, UT and is specialized in Plastic Surgery within the Head & Neck. Jeffrey Green Bennion practices in North Logan, UT and has the professional credentials of MD. The NPI Number for Jeffrey Green Bennion is 1396731469 and holds a License No. 274201-1205 (Utah).

The current practice location address for Jeffrey Green Bennion is 2245 N 400 E, North Logan, UT and can be reached out via phone at 435-753-7880 and via fax at 435-753-5845. You can also correspond with Jeffrey Green Bennion through the mailing address at 2245 N 400 E, NORTH LOGAN, UT - 84341-1892 (mailing address contact number: 435-753-7880).

Location: 2245 N 400 E, North Logan, UT, 84341-1892
person
Provider Profile Details
NPI Number
1396731469
Provider Name
Jeffrey Green Bennion
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2245 N 400 E, North Logan, UT, 84341-1892
Phone Number
435-753-7880
Fax Number
435-753-5845
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7054 01 ID IDAHO BOARD OF PHARMACY
274201-9915 01 UT UTAH CONTROLLED SUBSTANCE
M-6924 01 ID IDAHO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2245 N 400 E
City
State
Zip
84341-1892
Phone Number
435-753-7880
Fax Number
435-753-5845
person
Provider Business Mailing Address Details
Address
2245 N 400 E
City
State
Zip
84341-1892
Phone Number
435-753-7880
Fax Number
435-753-5845
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
License No.
274201-1205 (Utah)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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