Individual
DR. BENJAMIN K MARBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1619 N GREENWOOD ST, # 300, PUEBLO, CO 81003-2657
(719) 543-2476
(719) 543-2479
Mailing address
1619 N GREENWOOD ST, #300, PUEBLO, CO 81003-2657
(719) 543-2476
(719) 543-2479
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
5943612-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
665
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19253044
—
CO
01
—
P00412290
RAILROAD MEDICAR
CO
Enumeration date
12/20/2006
Last updated
04/16/2008
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