Individual
KEITH BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7700 S BROADWAY, LITTLETON, CO 80122-2602
(303) 730-5800
Mailing address
9301 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2767
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003864
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21856729
—
CO
Enumeration date
10/25/2013
Last updated
03/28/2014
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