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Individual

MICHAEL RICHARD BENOIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 W SOUTH BOULDER RD STE 102I, LAFAYETTE, CO 80026-8952
(720) 743-5672
(720) 812-9193
Mailing address
1120 W SOUTH BOULDER RD STE 102I, LAFAYETTE, CO 80026-8952
(720) 743-5672
(720) 812-9193

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53386
CO
207R00000X
Internal Medicine Physician
Primary
CDRH.0053386
CO

Other

Enumeration date
06/21/2011
Last updated
12/19/2024
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