| Douglas R Banning, D.o. | |
|
744 W 9th St Tulsa OK 74127-9020 | |
| (918) 902-6678 | |
| Not Available |
| Full Name | Douglas R Banning, D.o. |
|---|---|
| Speciality | Internal Medicine |
| Location | 744 W 9th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Douglas R Banning (PHYSICIAN) |
| Authorized Official Contact | 9189026678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas R Banning, D.o. Po Box 35009 Tulsa OK 74153-0009 Ph: (918) 902-6678 | Douglas R Banning, D.o. 744 W 9th St Tulsa OK 74127-9020 Ph: (918) 902-6678 |
| NPI Number | 1215121033 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3104 (Oklahoma) | Primary |
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