NPI 1063708709 · live from the CMS NPI Registry
Anastasia V Benoit, M.D.
Dermatology, MOHS-Micrographic Surgery in Westminster, CO. National Provider Identifier 1063708709, active.
NPI record
| NPI | 1063708709 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 905 W 124th Ave Ste 170, Westminster, CO 80234 |
| Practice phone | 303-442-6647 |
| Mailing address | 1056 S 88th St, Louisville, CO 80027 |
| Enumerated | June 21, 2011 |
| Last updated | March 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | DR.0056686 (CO) |
| Dermatology | 207N00000X | DR.0056686 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.