Individual
DR. JOSEPH M. BANNON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1476 GREENSCAPE BLVD, WESTERVILLE, OH 43081-9531
(740) 391-3373
Mailing address
106 PINECREST DR, SAINT CLAIRSVILLE, OH 43950-1433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3360
WV
207Q00000X
Family Medicine Physician
Primary
34.013357
OH
Other
Enumeration date
06/22/2015
Last updated
07/14/2023
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