Individual
DR. CYNTHIA ELAINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE, STE 5020, COLORADO SPGS, CO 80907-6868
(719) 776-5960
(719) 776-5045
Mailing address
2222 N NEVADA AVE, STE 5020, COLORADO SPGS, CO 80907-6868
(719) 776-5960
(719) 776-5045
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MD00048553
WA
225400000X
Rehabilitation Practitioner
Primary
41710
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5160BE
BLUE SHIELD VM
WA
05
—
80031064
—
CO
05
—
8493199
—
WA
Enumeration date
01/17/2006
Last updated
11/24/2008
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