Individual
DR. COLLEEN MARY BANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1691 INNOVATION DR STE 2100, BLACKSBURG, VA 24060-6618
(540) 232-8405
(550) 232-8429
Mailing address
1691 INNOVATION DR STE 2100, BLACKSBURG, VA 24060-6618
(540) 232-8405
(550) 232-8429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102208499
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2021
Last updated
07/15/2025
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