Individual
JORDAN BENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N 8TH ST, CANON CITY, CO 81212-3307
(720) 878-5848
(719) 275-8458
Mailing address
115 N 8TH ST, CANON CITY, CO 81212-3307
(719) 275-3968
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0000442
CO
Other
Enumeration date
09/18/2020
Last updated
09/09/2024
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