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Benjamin David St. Clair, DO
Allergy Physician in Fort Carson, Colorado
NPI 1225567886

Benjamin David St. Clair is an Allergy Physician based in Fort Carson, CO and is specialized in Allergy. Benjamin David St. Clair practices in Fort Carson, CO and has the professional credentials of DO. The NPI Number for Benjamin David St. Clair is 1225567886 and holds a License No. (Colorado).

The current practice location address for Benjamin David St. Clair is 1650 Cochrane Cir # B7500, Fort Carson, CO and can be reached out via phone at 719-526-7000.

Location: 1650 Cochrane Cir # B7500, Fort Carson, CO, 80913-4613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225567886
Provider Name
Benjamin David St. Clair
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1650 Cochrane Cir # B7500, Fort Carson, CO, 80913-4613
Phone Number
719-526-7000
Fax Number
Provider Enumeration Date
06/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VAD000 01 MEDICARE UPIN
institution
Provider Business Practice Location Address Details
Address
1650 Cochrane Cir # B7500
City
Fort Carson
State
Colorado
Zip
80913-4613
Phone Number
719-526-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Cochrane Cir # B7500
City
Fort Carson
State
Colorado
Zip
80913-4613
Phone Number
719-526-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
02005568A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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