Individual
STEPHEN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
1160 VONDELPARK DR, COLORADO SPRINGS, CO 80907-4019
(720) 384-3095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021-0095
NM
Other
Enumeration date
09/08/2018
Last updated
08/25/2025
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