Benjamin Miceli, PA-C
NPI #1043633324 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1043633324
- Entity Type
- Individual
- Name
- Benjamin Miceli, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 22, 2014
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 1107 S LEMAY AVE
- Address 2
- SUITE 240
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-3960
- Phone
- (970) 495-7421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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