Individual
SCOTT D BENNION
Active
Individual
SCOTT D BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3201A
WY
207N00000X
Dermatology Physician
34844
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014069
MEDICARE RAILROAD
WY
05
—
114196100
—
WY
05
—
37485865
—
CO
Enumeration date
08/01/2006
Last updated
10/15/2012
Update your record
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