Dr. Jeffrey Green Bennion
Plastic Surgeon (Head & Neck)
2380 N 400 E Suite #d
North Logan
, Utah 84341-1749
Dr. Jeffrey Green Bennion
Plastic Surgeon (Head & Neck)
2380 N 400 E Suite #d
North Logan
, Utah 84341-1749
(435) 753-5845
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Green Bennion
- 2380 N 400 E Suite #d
- North Logan, UT
- Zip : 84341-1756
- Fax : (435) 753-5845
- Phone : (435) 753-7880
Second Address
- Dr. Jeffrey Green Bennion
- 2380 N 400 E Suite #d
- North Logan, UT
- Zip : 84341-1749
- Fax : (435) 753-5845
- Phone : (435) 753-7880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 274201-1205 | UT |
National Provider Identifier
| NPI | 1396731469 |
|---|---|
| Provider Name | Dr. Jeffrey Green Bennion |
| First Address | North Logan, UT 84341-1756 |
| Second Address | North Logan, UT 84341-1749 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2005 |
| Last Update Date | 10/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 274201-9915 | UTAH CONTROLLED SUBSTANCE (01) | UT |
| 7054 | IDAHO BOARD OF PHARMACY (01) | ID |
| BB4062876 | DEA (01) | UT |
| F80522 | (02) | UT |
| M-6924 | IDAHO STATE LICENSE (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.