Organization
RAYMOND A BANNAN, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BANNAN (OWNER)
(740) 676-1121
Entity
Organization
Contact information
Practice address
3372 BELMONT ST, BELLAIRE, OH 43906-1523
(740) 676-1121
Mailing address
3372 BELMONT ST, BELLAIRE, OH 43906-1523
(740) 676-1121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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