Individual
MRS. SUSAN M. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 COOPER RIVER HIGHWAY, #1, CORDOVA, AK 99574-2431
(907) 424-4935
(907) 424-7936
Mailing address
PO BOX 2431, CORDOVA, AK 99574-2431
(907) 424-7792
(907) 424-7936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM3359
—
AK
Enumeration date
11/24/2006
Last updated
07/09/2007
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