Individual
VIRGINIA DEEANNE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 N HERMITAGE RD, SUITE 2, HERMITAGE, PA 16148-3278
(724) 347-4654
(724) 347-4784
Mailing address
875 N HERMITAGE RD, SUITE 2, HERMITAGE, PA 16148-3278
(724) 347-4654
(724) 347-4784
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD044146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011763400007
—
PA
05
—
0011763400008
—
PA
05
—
0400113
—
OH
Enumeration date
03/01/2006
Last updated
11/29/2007
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