Austin Tyler Bennett, DO is a student in an organized health care education training program in Charleston, WV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Austin Tyler Bennett, DO NPI is 1245972942. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3110 MACCORKLE AVE SE OFC
CHARLESTON, WV
ZIP 25304-210
Phone: (304) 388-7170
Fax: (304) 388-6597
The enumeration date for this NPI number is 4/12/2022 and was last updated on 4/12/2022.