Individual
BENJAMIN DAVID ST. CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4613
(719) 526-7000
Mailing address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4613
(719) 526-7000
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
02005568A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
06/07/2017
Last updated
07/27/2022
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