Organization
BRUCE BANIAS MD LLC
Active
Other names
Genesis Obstetrics & Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE BLAND BANIAS MD (PHYSICIAN BUSINESS OWNER)
(932) 293-5200
Entity
Organization
Contact information
Practice address
3075 GOVERNORS PLACE BLVD, SUITE 210, DAYTON, OH 45409-1323
(937) 293-5200
(937) 424-5925
Mailing address
3075 GOVERNORS PLACE BLVD, SUITE 210, DAYTON, OH 45409-1323
(937) 293-5200
(937) 424-5925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35052271
OH
207V00000X
Obstetrics & Gynecology Physician
3562520C
OH
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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