Individual
DR. GENIE M BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036131009
IL
207W00000X
Ophthalmology Physician
Primary
054662
CO
207W00000X
Ophthalmology Physician
105521
MN
207W00000X
Ophthalmology Physician
54346
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025513
KAISER COMMERCIAL NUMBER
CO
01
—
20374
RESIDENT PERMIT
MN
05
—
26527049
—
CO
Enumeration date
05/07/2008
Last updated
05/21/2021
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