Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 30895 | CO |
Y | 2086S0120X | Pediatric Surgery | 30895 | CO |
N | 2086S0127X | Trauma Surgeon | 30895 | CO |
NPI | 1528011293 |
---|---|
Provider Name | Dr. Denis David Bensard |
First Address | Denver, CO 80204-4507 |
Second Address | Denver, CO 80204-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200820270 | (05) | CO |
F33651 | (02) |