Individual
DR. DAINE THOMPSON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 W HAMPDEN PL STE 210, ENGLEWOOD, CO 80110-2473
(303) 722-6960
(303) 722-0462
Mailing address
8490 E CRESCENT PKWY STE 380, GREENWOOD VILLAGE, CO 80111-2815
(303) 957-1310
(303) 761-4252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R7169
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
0057147
CO
208C00000X
Colon & Rectal Surgery Physician
R7169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000172477
—
CO
Enumeration date
04/15/2010
Last updated
06/07/2023
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