Individual
CHARLES L BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8881 N MAIN ST, DAYTON, OH 45415-1333
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE, SUITE 200, DAYTON, OH 45414-2854
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35077949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389959
ANTHEM
—
05
—
2221385
—
OH
Enumeration date
05/24/2006
Last updated
11/29/2022
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