Individual
DR. JASON T BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL 35801-4317
(256) 533-1600
(256) 539-0856
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 533-1600
(256) 539-0856
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23633
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932112
—
AL
01
—
051001760
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/09/2005
Last updated
05/22/2017
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