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Individual

BENJAMIN SHUKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 N MARION ST FL 2, TAMPA, FL 33602-4914
(813) 474-9804
(813) 540-6025
Mailing address
5200 DTC PKWY, SUITE 400, GREENWOOD VILLAGE, CO 80111-2719
(303) 745-0000
(303) 708-1834

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39715
CO
208M00000X
Hospitalist Physician
39715
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58205250
CO
Enumeration date
09/22/2006
Last updated
07/05/2024
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