Individual
DR. JOHN L. BENGFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 S UNION BLVD STE 300, COLORADO SPRINGS, CO 80910-3126
(719) 365-6363
(719) 365-5801
Mailing address
1215 NORTHFIELD RD, COLORADO SPRINGS, CO 80919-3239
(719) 598-7741
(719) 598-1972
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21658
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52489329
—
CO
Enumeration date
02/06/2007
Last updated
06/10/2008
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