Individual
NATHAN DOUGLAS BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2767 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-2888
(719) 365-1577
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2412
(970) 490-4153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005577
CO
Other
Enumeration date
11/16/2018
Last updated
12/12/2018
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