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Individual

BENJAMIN NISSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
439 EDWARDS ACCESS RD, EDWARDS, CO 81632-5634
(970) 445-2489
(970) 470-6510
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0065872
CO

Other

Enumeration date
03/22/2017
Last updated
02/12/2025
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