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BENJAMIN MARTINEZ-ANDUJO NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1952321150

Individual Registrant:
 BENJAMIN  MARTINEZ-ANDUJO NP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
190 S. MAIN ST.  KEENESBURG, CO 80643-0559 US
Tel: 303-732-4268  Fax: 303-732-9288

Contact information for business:
PO BOX 559  KEENESBURG, CO 80643-0559 US
Tel: 303-732-4268  Fax: 303-732-9288

Registration Information:
NPI: 1952321150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CO108936

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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