Organization Name: | PHILIP M HENBEST DO PC |
NPI Number: | 1053634196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP M HENBEST (PRESIDENT) |
Mailing Address: | 9981 N Washington St Suite 21 Thornton |
State: | CO US |
Postal Code: | 802292169 |
Phone Number: | 3032520488 |
Fax Number: | 3032521624 |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 02/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 25418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |