Individual
DR. YVONNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6161 S SYRACUSE WAY, 310, GREENWOOD VILLAGE, CO 80111-4707
(303) 220-5707
Mailing address
PO BOX 4277, ENGLEWOOD, CO 80155-4277
(303) 220-5707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30036
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01300367
—
CO
Enumeration date
07/11/2006
Last updated
07/08/2007
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