Individual
ANTOINETTE L BENABIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-6802
Mailing address
1172 S EATON ST, LAKEWOOD, CO 80232-5830
(303) 474-0632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
176474
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012126
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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