Bruce W. Bennett M.D.
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Bruce Wayne Bennett M.D.
NPI Number
1225007818
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/16/2006
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
15660
Contact
Information
Purpose
Mailing
Location
Address
6600 S YALE AVE
10507 E 91ST ST STE 510
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74136-3331
74133-5462
Country
US
US
Telephone Number
(918) 307-5525
(918) 307-5525
Identifiers
Identifier
100107490A
Identifier State
OK
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
bbennett706405@direct.novanthealth.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
3333 Brookview Hills Blvd Ste 204Winston Salem, NC271035661US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/22/2021
Provider Address
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