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Individual
COLLIN REED BENNETT
Active
Individual
COLLIN REED BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
207Q00000X
Family Medicine Physician
Primary
0072144
CO
208D00000X
General Practice Physician
0072144
CO
Other
Enumeration date
04/11/2022
Last updated
08/25/2025
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