Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | DR.0066035 | CO |
N | 2080P0210X | Pediatric Nephrologist | MT214996 | PA |
NPI | 1649664798 |
---|---|
Provider Name | Eric Gill Benz |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 22/09/2021 |