| Stephanie B Bennett Dba Rocker Fox Medical | |
|
229 Line Rd Malvern PA 19355-3320 | |
| (610) 644-5993 | |
| (610) 407-9045 |
| Full Name | Stephanie B Bennett Dba Rocker Fox Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 229 Line Rd, Malvern, Pennsylvania |
| Authorized Official Name and Position | Stephanie Bennett (OWNER) |
| Authorized Official Contact | 6106445993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie B Bennett Dba Rocker Fox Medical 229 Line Rd Malvern PA 19355-3320 Ph: (610) 644-5993 | Stephanie B Bennett Dba Rocker Fox Medical 229 Line Rd Malvern PA 19355-3320 Ph: (610) 644-5993 |
| NPI Number | 1629250220 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629250220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0009106L (Pennsylvania) | Primary |
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