Individual
DR. RYAN JEREMY BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 9TH ST, WICHITA FALLS, TX 76301-4304
(940) 723-8151
(940) 723-8815
Mailing address
1601 9TH ST, WICHITA FALLS, TX 76301-4304
(940) 723-8151
(940) 723-8815
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23505
OK
Other
Enumeration date
01/27/2007
Last updated
04/23/2015
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