Amanda Benedict, PA
Physician Assistant, Medical in Fort Collins, CO. Individual provider (NPI-1).
NPI number1912295296
StatusActive
Last updated in NPPESJul 20, 2011
Details
- NPI
- 1912295296
- Entity type
- Individual (NPI-1)
- Name
- Amanda Benedict
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2011
- Last updated
- Jul 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA3233 | CO | Yes |
Practice location
1200 E Elizabeth StFort Collins, CO 80524-4007
Phone 970-267-9510 · Fax 970-416-6299
Mailing address
1200 E Elizabeth StFort Collins, CO 80524-4007
Phone 970-267-9510 · Fax 970-416-6299
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