Individual
ROBERT BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8112 E 16TH ST APT 207, TULSA, OK 74112-8202
(909) 659-8488
Mailing address
8112 E 16TH ST APT 207, TULSA, OK 74112-8202
(909) 659-8488
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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