Individual
BENJAMIN L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4306
(719) 595-7886
Mailing address
PO BOX 173891, DENVER, CO 80217-3891
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN.164931.MEDS-IV
OH
363A00000X
Physician Assistant
50005301RX
OH
363A00000X
Physician Assistant
Primary
PA.0005786
CO
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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