Individual
DR. ELIZABETH B.A. BANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48518
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2428
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020900
KAISER COMMERCIAL NUMBER
CO
05
—
36637564
—
CO
01
—
P01605376
MEDICARE RAIL ROAD PTAN
CO
Enumeration date
07/14/2008
Last updated
06/10/2021
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