NPI 1104168582

Ethan Michael Benning, MD

Practitioner Surgery Physician Rio Rancho, NM

Practice location

Address: 3001 Broadmoor Blvd NE, Rio Rancho, NM 87144
Phone: (505) 994-7000
Mailing address: 800 Bradbury Dr SE STE 116, Albuquerque, NM 87106-4310

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD2019-0664 (NM)

Other Surgery providers in New Mexico →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 27993 (WV)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in New Mexico →

Registry record

NPI: 1104168582
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2013
Record last updated: 3 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.