DOUGLAS R BANNING DO

NORTHEASTERN TRIBAL HEALTH SYSTEM

Dr DOUGLAS R BANNING DO is a male medical professional, specializing in General Practice. He graduated in 1992 from Oklahoma College Of Osteopathic Medicine And Surgery.

Contact

NORTHEASTERN TRIBAL HEALTH SYSTEM

7600 S HWY 69A
MIAMI
OK
743541016

Tel: 9185421655

DOUGLAS R BANNING DO Information

Npi 1356477681
Pac Id 6608863287
Professional Enrollment Id I20110912000086
Last Name BANNING
First Name DOUGLAS
Middle Name R
Suffix
Gender M
Credential DO
Medical School Name OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 1992
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHEASTERN TRIBAL HEALTH SYSTEM
Group Practice Pac Id 7911893854
Number Of Group Practice Members 10
Line 1 Street Address 7600 S HWY 69A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MIAMI
State OK
Zip Code 743541016
Phone Number 9185421655
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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