Individual
DAVID ALAN BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
220 VIRGINIA AVE, FAIRMONT, WV 26554-0175
(304) 363-4134
(304) 333-2054
Mailing address
220 VIRGINIA AVE, FAIRMONT, WV 26554-0175
(304) 363-4134
(304) 333-2054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1031
WV
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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