Individual
DEREK A BANYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868-3217
(714) 939-4028
Mailing address
200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868-3217
(714) 939-4028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A124088
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2011
Last updated
07/21/2014
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