Organization
FAMILY PRACTICE CENTER OF SALEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L BANNING X M.D. (PRESIDENT)
(330) 332-9961
Entity
Organization
Contact information
Practice address
2370 SOUTHEAST BLVD, SALEM, OH 44460-3418
(330) 332-9961
(330) 332-3860
Mailing address
2370 SOUTHEAST BLVD, SALEM, OH 44460-3418
(330) 332-9961
(330) 332-3860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35036040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377597
—
OH
Enumeration date
03/09/2007
Last updated
08/22/2020
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