Individual
DR. WARREN R BANACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E BRUNSON ST, SUITE 310, ENTERPRISE, AL 36330-2526
(334) 393-0737
(334) 393-0914
Mailing address
101 E BRUNSON ST, SUITE 310, ENTERPRISE, AL 36330-2526
(334) 393-0737
(334) 393-0914
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11333
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09946540
—
AL
Enumeration date
11/15/2005
Last updated
10/28/2011
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