Douglas R Banning, D.o.

NPI #1215121033 in Tulsa, Oklahoma

Provider Information

NPI Number: 1215121033
Entity Type: Organization
Organization Name: Douglas R Banning, D.o.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 5, 2007
Last Updated: Apr 24, 2008

Practice Location

Address: 744 W 9TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74127-9020
Phone: (918) 902-6678

Authorized Official

Name: DR. DOUGLAS R BANNING, D.O.
Title: PHYSICIAN
Phone: (918) 902-6678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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