Benjamin Miceli, PA-C

NPI 1043633324 · on the registry since 2014

Practice

Address: 1107 S Lemay Ave
Suite 240
Fort Collins, CO 80524
Phone: (970) 495-7421
Fax: (970) 495-7424
Organisation at this address: Fort Collins Women'S Clinic, Pc
Poudre Valley Medical Group, Llc
Poudre Valley Medical Group, Llc
Fort Collins Women'S Clinic, P.C.
University Physicians Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 65

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado