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Individual

NEIL A BANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 N GRAND AVE, SUITE 430, PUEBLO, CO 81003-2700
(719) 545-8240
Mailing address
1600 N GRAND AVE STE 430, PUEBLO, CO 81003-2760
(719) 545-8240

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47112
CO

Other

Enumeration date
12/05/2008
Last updated
12/22/2015
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