Individual
MICHAEL R BANITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16404 SMOKEY POINT BLVD STE 303, ARLINGTON, WA 98223-8417
(360) 658-6224
(360) 658-6227
Mailing address
PO BOX 102339, PASADENA, CA 91189-2339
(206) 528-6000
(206) 858-7050
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60583808
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417006883
—
WA
Enumeration date
01/08/2007
Last updated
07/20/2021
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