Individual
DR. BENJAMIN H MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 544-1600
(719) 544-2599
Mailing address
PO BOX 9416, PUEBLO, CO 81008-9416
(719) 546-0557
(719) 546-0557
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
CDRH.0025593
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01255934
—
CO
Enumeration date
11/20/2006
Last updated
09/24/2024
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