Organization
COMPHIBGRU THREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEMAR BANKS D.O. (GROUP MEDICAL OFFICER)
(619) 556-1466
Entity
Organization
Contact information
Practice address
3985 CUMMINGS RD, SUITE 4, SAN DIEGO, CA 92136-5218
(619) 556-1466
Mailing address
3985 CUMMINGS RD, SUITE 4, SAN DIEGO, CA 92136-5218
(619) 556-1466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A6114
CA
Other
Enumeration date
01/23/2006
Last updated
08/22/2020
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