Individual
DR. JEFFREY BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
350 NE 36TH ST, ANKENY, IA 50021-6728
(515) 224-1414
(515) 224-5140
Mailing address
5814 NE OAK DR, ANKENY, IA 50021-1227
(515) 557-0481
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO-06131
IA
Other
Enumeration date
06/22/2016
Last updated
10/18/2024
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