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Individual

AUSTIN BANNING DEROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 PARK CENTRAL DR, HIGHLANDS RANCH, CO 80129-6688
(303) 265-3940
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
35896
SC
208800000X
Urology Physician
Primary
DR.0053887
CO

Other

Enumeration date
06/21/2008
Last updated
09/10/2025
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