Individual
DR. RANDALL LYNN BANBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
16 N WASHINGTON ST, MILLERSBURG, OH 44654-1104
(330) 674-5888
(330) 674-9888
Mailing address
11 RUSTIC AVE., MILLERSBURTY, OH 44654-1104
(330) 674-5888
(330) 674-9888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1566738
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376664
INSURANCE
OH
05
—
0498242
—
OH
Enumeration date
03/06/2007
Last updated
07/08/2007
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