Doctor Name: | ALAN E BENSON |
NPI Number: | 1205879244 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 17414 |
Business Practice Address: | 1950 Mountain View Ave Longmont, CO - 805013129 |
Business Phone Number: | 3037764824 |
Business Fax Number: | |
Mailing Address: | Po Box 1163, LONGMONT |
State: | CO |
Postal Code: | 805021163 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 11/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |