ANN E BENAVIDEZ

QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY

Dr ANN E BENAVIDEZ is a female medical professional, specializing in Optometry. She graduated in 2015 from Pennsylvania College Of Optometry.

Contact

QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY

1 HOSPITAL RD
BELCOURT
ND
58316

Tel: 7014776111

ANN E BENAVIDEZ Information

Npi 1598141939
Pac Id 6406133271
Professional Enrollment Id I20170503002195
Last Name BENAVIDEZ
First Name ANN
Middle Name E
Suffix
Gender F
Credential
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 2015
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
Group Practice Pac Id 5496651853
Number Of Group Practice Members 34
Line 1 Street Address 1 HOSPITAL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BELCOURT
State ND
Zip Code 58316
Phone Number 7014776111
Hospital Affiliation Ccn 1 350063
Hospital Affiliation Lbn 1 P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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