Organization
DOUGLAS R BANNING, D.O.
Active
Organization
DOUGLAS R BANNING, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R BANNING D.O. (PHYSICIAN)
(918) 902-6678
Entity
Organization
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 902-6678
Mailing address
PO BOX 35009, TULSA, OK 74153-0009
(918) 902-6678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3104
OK
Other
Enumeration date
09/05/2007
Last updated
04/24/2008
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