Individual
DR. BENJAMIN MATHEW SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28871
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0055913
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28871
STATE LICENCE
NE
01
—
DR.0055913
STATE LICENCE
CO
01
—
MD60158446
WASHINGTON STATE
WA
Enumeration date
01/22/2008
Last updated
03/31/2024
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