Individual
MR. JAMES D BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
6584 N YUCCA TRL, PARKER, CO 80138-6110
(303) 841-1058
Mailing address
6585 YUCCA TRAIL, PARKER, CO 80138
(303) 841-1078
(303) 841-0958
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
88-103
CO
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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