SANGRE DE CRISTO FAMILY PRACTICE ASSOC., P.C.
Ambulatory Health at Macon Ave, Canon City, CO

License number
Colorado 27050
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MICHAEL WAYNE BANKER M.D.
Title: PRESIDENT
Phone: (719) 275-8646
Address
Address
712 Macon Ave, Canon City, CO 81212
National Provider ID: 1962536326
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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