Individual
NORBERTINA L BANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101234092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7248237
—
VA
01
—
P00006705
RAILROAD MEDICARE
DC
Enumeration date
10/27/2005
Last updated
12/31/2013
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