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Individual

DR. JEANNINE SUSAN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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