Individual
MS. MARISSA ANN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11990 GRANT ST, NORTHGLENN, CO 80233-1137
(303) 604-5000
Mailing address
382 S. ARTHUR AVENUE, LOUISVILLE, CO 80027
(303) 604-5000
(720) 890-0364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004887
CO
Other
Enumeration date
01/09/2012
Last updated
02/13/2018
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