Becka I Bannon, PA
NPI #1073038899 in Crawfordsville, Indiana
Provider Information
- NPI Number
- 1073038899
- Entity Type
- Individual
- Name
- Becka I Bannon, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Aug 14, 2017
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 4537 S NUCOR RD
- City
- Crawfordsville
- State
- Indiana
- ZIP Code
- 47933-7969
- Phone
- (765) 362-3579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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