Individual
DR. EVELYN R. BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1563 FOXLEIGH CT, SAINT LOUIS, MO 63131-1229
(314) 580-4207
Mailing address
1563 FOXLEIGH CT, SAINT LOUIS, MO 63131-1229
(314) 580-4207
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101042456
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101042456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006602703
—
VA
Enumeration date
07/12/2005
Last updated
11/03/2016
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