Individual
DR. BENJAMIN LOUIS SHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK STREET, MC 0108, DENVER HEALTH MEDICAL CENTER, DENVER, CO 80204
(303) 602-5183
Mailing address
777 BANNOCK STREET, MC 0108, DENVER HEALTH MEDICAL CENTER, DENVER, CO 80204
(303) 602-5183
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0063025
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029006
KAISER COMMERCIAL NUMBER
CO
Enumeration date
05/02/2016
Last updated
10/17/2019
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