Dr. Amanda Mae Banas, D.O.
Hospitalist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1235518671
StatusActive
Last updated in NPPESMay 10, 2021
Details
- NPI
- 1235518671
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Mae Banas
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2015
- Certification date
- May 10, 2021
- Last updated
- May 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | DR.0060091 | CO | Yes |
| 207R00000X | Internal Medicine | 5101021788 | MI |
Practice location
1400 E Boulder StColorado Springs, CO 80909-5533
Phone 303-338-4545
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
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