Individual
JASON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAD TECH
Contact information
Practice address
27B TALISMAN DR UNIT 3276N1, PAGOSA SPRINGS, CO 81147-7913
(970) 252-3200
(970) 252-3200
Mailing address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 252-3200
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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