Individual
BENNETT WILLIS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
660 BANNOCK ST # L, DENVER, CO 80204-4506
(202) 436-6000
(303) 602-8505
Mailing address
2285 IRIS ST, LAKEWOOD, CO 80215-1657
(828) 230-9618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007210
CO
Other
Enumeration date
08/13/2022
Last updated
02/28/2024
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