NPI 1194143560

Phillip Bennett, IDC

Practitioner Contractor Fpo, AP

Practice location

Address: Psc 482 Box 2620, Fpo, AP 96362-2699
Phone: (210) 800-8384

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Armed Forces Pacific →

Registry record

NPI: 1194143560
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2014
Record last updated: 2 Apr 2014

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.