Individual
DR. DOUGLAS R BANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
(918) 256-4597
Mailing address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
(918) 256-4597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3104
OK
Other
Enumeration date
02/23/2007
Last updated
02/25/2013
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