NPI 1518066604

Richard R Bennum, MD

Practitioner Diagnostic Radiology Physician St Johnsbury, VT

Practice location

Address: 1315 Hospital Dr, St Johnsbury, VT 05819-9210
Phone: (802) 748-7567
Mailing address: PO Box 1849, Lewiston, ME 04241-1849

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 042-0007139 (VT)

Other Radiology providers in Vermont →

Diagnostic Ultrasound Physician

Allopathic & Osteopathic Physicians Taxonomy 2085U0001X Licence 042-0007139 (VT)

Registry record

NPI: 1518066604
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 21 Jul 2022

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.