Individual
DR. DAVID L BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
729 SUNRISE AVE #501, ROSEVILLE, CA 95661
(916) 786-5800
(916) 773-3001
Mailing address
729 SUNRISE AVE #501, ROSEVILLE, CA 95661
(916) 786-5800
(916) 773-3001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G031541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A44802
—
CA
Enumeration date
11/14/2006
Last updated
07/08/2007
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