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Individual

DR. ROBERT B BANNISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
UNSOM 123 17TH ST, BRIGHAM BLDG MS, 316, RENO, NV 89557-0001
(775) 784-1533
(775) 784-8075
Mailing address
401 W 2ND ST STE 235D, RENO, NV 89503-5353
(775) 784-1223
(775) 327-2006

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
314
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016683
NV
Enumeration date
08/19/2006
Last updated
07/03/2014
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