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Organization

DEBORAH BANSKTER MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH ANN BANSKTER M.D. (PRESIDENT)
(707) 748-0747
Entity
Organization

Contact information

Practice address
2700 GRANT ST, SUITE306, CONCORD, CA 94520-2266
(925) 356-8990
(925) 356-8995
Mailing address
880 CHANNING CIR, BENICIA, CA 94510-3636
(707) 748-0747
(925) 356-8995

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G78855
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G78855
CA STATE LICENCE
CA
Enumeration date
04/23/2009
Last updated
04/23/2009
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