Individual
WILLIAM BENNETT AUSTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2637 MIDPOINT DR STE B, FORT COLLINS, CO 80525-4408
(970) 488-1666
(970) 472-9381
Mailing address
2637 MIDPOINT DR STE B, FORT COLLINS, CO 80525-4408
(970) 488-1666
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42642
CO
208M00000X
Hospitalist Physician
Primary
42642
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69051038
—
CO
01
—
P00630800
RAILROAD MEDICARE
CO
Enumeration date
01/24/2006
Last updated
11/01/2019
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