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NPI Code Detail

MEDICARE: MS. RACHEL LEIGH BENTON PA-C

MEDICARE: MS. RACHEL LEIGH BENTON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA.0007043CO

General Provider Information

NPI Number : 1124786538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL LEIGH BENTON PA-C
Provider Business Mailing Address
First Line : 7030 S YOSEMITE ST
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-2016
Country : US
Telephone Number : 303-721-9984
Fax Number : 303-267-7304
Provider Business Practice Location Address
First Line : 7030 S YOSEMITE ST
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-2016
Country : US
Telephone Number : 303-721-9984
Fax Number : 303-267-7304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2021
Last Update Date : 02/07/2025

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