Organization
DOROTHY H BANISH MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY H BANISH MD (OWNER)
(985) 893-4711
Entity
Organization
Contact information
Practice address
67250 INDUSTRY LN, SUITE B, COVINGTON, LA 70433-8716
(985) 893-4711
(985) 893-9094
Mailing address
67250 INDUSTRY LN, SUITE B, COVINGTON, LA 70433-8716
(985) 893-4711
(985) 893-9094
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
015918
LA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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