Individual
WENDY J. BANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10101 RIDGEGATE CENTER, LONE TREE, CO 80124-9810
(720) 225-1900
(303) 306-7753
Mailing address
2349 N LAFAYETTE ST, DENVER, CO 80205-5341
(303) 525-6314
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
DR.0046454
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90006739
—
CO
Enumeration date
12/27/2007
Last updated
01/28/2021
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