Individual
DR. JOHN NIKOLAY BANGIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2055 N HIGH ST STE 110, DENVER, CO 80205-5504
(303) 301-9019
(303) 861-6254
Mailing address
2055 N HIGH ST STE 110, DENVER, CO 80205-5504
(303) 301-9019
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
58725
CO
207YS0123X
Facial Plastic Surgery Physician
5101019122
MI
Other
Enumeration date
07/01/2011
Last updated
02/26/2019
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