Organization
LAMAR MEDICAL ASSOC PC
Active
Other names
Donald Benton MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD FRANCIS BENTON M.D. (PHYSICIAN)
(719) 336-9068
Entity
Organization
Contact information
Practice address
200 KENDALL DR STE 3, LAMAR, CO 81052-3940
(719) 336-9068
(719) 336-3202
Mailing address
200 KENDALL DR STE 3, LAMAR, CO 81052-3940
(719) 336-9068
(719) 336-3202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR22392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223924
—
CO
01
—
LA08601
ANTHEM BLUE CROSS
CO
Enumeration date
01/18/2007
Last updated
12/20/2007
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