Individual
BENJAMIN JAMES WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2240 BLAKE ST STE 101, DENVER, CO 80205-2059
(720) 664-7183
Mailing address
2525 WEWATTA WAY APT 424, DENVER, CO 80216-3767
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
0009419
CO
363A00000X
Physician Assistant
Primary
PA.0009419
CO
Other
Enumeration date
10/17/2025
Last updated
11/17/2025
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