Organization
KAYSIE L BANTON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYSIE BANTON MD (PRESIDENT)
(612) 220-3708
Entity
Organization
Contact information
Practice address
601 E HAMPDEN AVE STE 220, ENGLEWOOD, CO 80113-3781
(303) 788-5300
(303) 788-5363
Mailing address
3358 S EMERSON ST, ENGLEWOOD, CO 80113-2832
(612) 220-3708
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0059860
CO
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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