Individual
DR. ALEXANDER BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
200 MIFFLIN ST, HUNTINGDON, PA 16652-1436
(814) 641-4327
(814) 641-7104
Mailing address
200 MIFFLIN ST, HUNTINGDON, PA 16652-1436
(814) 641-4327
(814) 641-7104
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006568
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT006568
STATE LICENSE
PA
Enumeration date
07/05/2018
Last updated
07/05/2018
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