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NPI Code Detail

MEDICARE: WILLIAM BENNETT AUSTIN III D.O.

MEDICARE:   WILLIAM BENNETT AUSTIN III D.O.
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
1207R00000XInternal Medicine Physician42642CO
2208M00000XHospitalist Physician42642CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00630800OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972573954
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM BENNETT AUSTIN III D.O.
Provider Business Mailing Address
First Line : 2637 MIDPOINT DR STE B
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4408
Country : US
Telephone Number : 970-488-1666
Fax Number : 970-472-9381
Provider Business Practice Location Address
First Line : 2637 MIDPOINT DR STE B
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4408
Country : US
Telephone Number : 970-488-1666
Fax Number : 970-472-9381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 11/01/2019

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Directions to “ WILLIAM BENNETT AUSTIN III D.O.” Practice Location

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