Individual
MR. DANIEL EDWARD BANACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 MEDICAL CENTER CT, PRATTVILLE, AL 36066-7288
(334) 361-3090
(334) 361-2090
Mailing address
204 MEDICAL CENTER CT, PRATTVILLE, AL 36066-7288
(334) 361-3090
(334) 361-2090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AL23409
AL
Other
Enumeration date
09/20/2005
Last updated
08/12/2010
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