Dr JESSE DAVID BANE MD is a male medical professional, specializing in Internal Medicine. He graduated in 1970 from University Of Texas Southwestern Medical School At Dallas.
GRANGER MEDICAL CLINIC INC
3725 W 4100
WEST VALLEY CITY
UT
841205530
Tel: 8019653600
| Npi | 1477584837 |
| Pac Id | 7911987920 |
| Professional Enrollment Id | I20040721000864 |
| Last Name | BANE |
| First Name | JESSE |
| Middle Name | DAVID |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1970 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | GRANGER MEDICAL CLINIC INC |
| Group Practice Pac Id | 3476465691 |
| Number Of Group Practice Members | 162 |
| Line 1 Street Address | 3725 W 4100 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 841205530 |
| Phone Number | 8019653600 |
| Hospital Affiliation Ccn 1 | 460051 |
| Hospital Affiliation Lbn 1 | JORDAN VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460010 |
| Hospital Affiliation Lbn 2 | INTERMOUNTAIN MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 460047 |
| Hospital Affiliation Lbn 3 | ST MARK'S HOSPITAL |
| 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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