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General NPI Number Information
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NPI Number | 1053008086
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Entity Type | Individual
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Provider Name | BENJAMIN JOSEPH HOLLAS DO
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Gender | Male
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 14300 ORCHARD PKWY
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City | WESTMINSTER
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State | CO
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Zip | 80023-9206
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Country | US
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Telephone | 303-430-5560
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Fax | 303-430-5565
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Provider Business Mailing Address
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Address Line | 4521 BOOTH ST
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City | KANSAS CITY
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State | KS
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Zip | 66103-3420
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Country | US
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Telephone | 903-452-8583
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TL.0009641
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0073808
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License Number State | CO
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