Individual
DR. BARBARA JEAN BANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
204 E BEACH ST, WATSONVILLE, CA 95076-4809
(831) 728-0222
(831) 707-2777
Mailing address
204 E BEACH ST, WATSONVILLE, CA 95076-4809
(831) 728-0222
(831) 707-2777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G68640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70530F
—
CA
Enumeration date
11/08/2006
Last updated
04/02/2020
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