Individual
DR. JOHN M O'BANNON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 FOREST AVE, SUITE 300, RICHMOND, VA 23226-3792
(804) 288-2742
(804) 288-9053
Mailing address
7301 FOREST AVE, SUITE 302, RICHMOND, VA 23226-3792
(804) 288-2767
(804) 288-9897
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101025330
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6171729
—
VA
Enumeration date
01/27/2006
Last updated
01/26/2022
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