Individual
DR. BENJAMIN WILL SCALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1645 BROADWAY, BOULDER, CO 80302-6218
(303) 415-8900
(303) 443-6476
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-4101
(303) 415-4769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
305535
NY
207R00000X
Internal Medicine Physician
Primary
DR.0074853
CO
207R00000X
Internal Medicine Physician
MD463687
PA
207R00000X
Internal Medicine Physician
R-10311
IA
Other
Enumeration date
06/04/2015
Last updated
03/10/2026
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