Individual
DR. TODD RICHARD BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1241 BLAKESLEE BOULEVARD DR E, LEHIGHTON, PA 18235-2401
(570) 386-6900
(570) 386-6901
Mailing address
1241 BLAKESLEE BOULEVARD DR E, LEHIGHTON, PA 18235-2401
(570) 386-6900
(570) 386-6901
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS-008961-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018106500001
—
PA
Enumeration date
08/15/2006
Last updated
08/12/2013
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