Individual
ANDREW HADRIAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 960-7726
Mailing address
8610 N 87TH ST, LONGMONT, CO 80503-8549
(303) 960-7726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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