Individual provider · NPI-1

Dr. Barbara Jean Bannan, M.D.

Family Medicine · Watsonville, CA

NPI number1790855708
StatusActive
Last updated in NPPESApr 2, 2020

Details

NPI
1790855708
Entity type
Individual (NPI-1)
Name
Dr. Barbara Jean Bannan
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2006
Certification date
Apr 2, 2020
Last updated
Apr 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineG68640CAYes

Practice location

204 E Beach St
Watsonville, CA 95076-4809

Phone 831-728-0222 · Fax 831-707-2777

Mailing address

204 E Beach St
Watsonville, CA 95076-4809

Phone 831-728-0222 · Fax 831-707-2777

Other practice locations

45 Neilson St
Watsonville, CA 95076-2468

Phone 831-728-0222 · Fax 831-707-2777

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