NPI 1003203373

Benjamin Smith

Practitioner Family Medicine Physician Fort Collins, CO

Practice location

Address: 1025 Pennock Pl, Fort Collins, CO 80524-3257
Phone: (970) 495-8800

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DR.0057228 (CO)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003203373
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2015
Record last updated: 29 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.