Individual
DR. JEANNINE SUSAN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47230
CO
207R00000X
Internal Medicine Physician
50354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020178
KAISER COMMERCIAL NUMBER
CO
05
—
45332088
—
CO
Enumeration date
12/04/2007
Last updated
05/21/2021
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