DR. Brenda Louise Banks, M.D.

NPI #1891905410 in Waverly, Ohio

Provider Information

NPI Number: 1891905410
Entity Type: Individual
Name: DR. Brenda Louise Banks, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 850 W EMMITT AVE
Address 2: SUITE 5
City: Waverly
State: Ohio
ZIP Code: 45690-1092
Phone: (740) 941-1902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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