| Doctor Name: | DR. DANIEL BRUCE BENNETT |
| NPI Number: | 1447363833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | E2282 |
| Business Practice Address: | 1000 E Matthews Ave Suite B Jonesboro, AR - 724014307 |
| Business Phone Number: | 8709326883 |
| Business Fax Number: | 8709720719 |
| Mailing Address: | 1000 E Matthews Ave, Suite B JONESBORO |
| State: | AR |
| Postal Code: | 724014307 |
| Phone Number: | 8709326883 |
| Fax Number: | 8709720719 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E2282 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |