Individual
DR. DONALD F BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 S. CRESCENT DRIVE, SUITE B, PUEBLO WEST, CO 81007-5433
(719) 595-7575
(719) 547-8368
Mailing address
121 S. CRESCENT DRIVE, SUITE B, PUEBLO WEST, CO 81007-5433
(719) 595-7575
(719) 547-8368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223924
—
CO
Enumeration date
12/04/2007
Last updated
09/07/2012
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