Most Relevant Information
Provider Data
| NPI Number: | 1003557307 |
| Provider Name: | BENJAMIN CHARLES HERSCH PA |
| Entity Type: | Individual |
| Taxonomy Code: | 171000000X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2022 |
| Last Updated: | 05/23/2024 |
Provider Practice Location
2425 GRAND AVE STE 101
GLENWOOD SPRINGS
CO
816014181
Practice Location Phone/Fax
| Phone: | 9709451007 |
| Fax: | 9709857812 |
Provider Mailing Location
2425 GRAND AVE STE 101
GLENWOOD SPRINGS
CO
816014181
Provider Mailing Phone/Fax
| Phone: | 9709451007 |
| Fax: | 9709857812 |