Individual
DR. MARK EDWARD BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 WEST 8TH STREET, BELOIT, KS 67420
(785) 738-2266
(785) 738-9503
Mailing address
PO BOX 399, BELOIT, KS 67420
(785) 738-2266
(785) 738-9503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0439315
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201139520A
—
KS
Enumeration date
04/20/2011
Last updated
04/08/2021
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