Individual
BENJAMIN SCOTT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4110 BRIARGATE PKWY STE 460, COLORADO SPRINGS, CO 80920-7839
(719) 364-6487
Mailing address
PO BOX 1000, DEPT 457, MEMPHIS, TN 38148-0001
(901) 758-7888
(901) 387-5153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD45085
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03239711
—
MS
05
—
1514518
—
TN
05
—
178398001
—
AR
01
—
4355671
BCBS
TN
05
—
9000221822
—
CO
Enumeration date
04/23/2007
Last updated
10/04/2023
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