JON BANAS DO

RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC

Dr JON BANAS DO is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1994 from Michigan State University College Of Osteopathic Medicine.

Contact

RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC

13681 DOCTOR WAY
FORT MYERS
FL
339124300

Tel: 2393431000

JON BANAS DO Information

Npi 1598750747
Pac Id 7517995715
Professional Enrollment Id I20091102000250
Last Name BANAS
First Name JON
Middle Name
Suffix
Gender M
Credential DO
Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1994
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC
Group Practice Pac Id 3274858295
Number Of Group Practice Members 67
Line 1 Street Address 13681 DOCTOR WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT MYERS
State FL
Zip Code 339124300
Phone Number 2393431000
Hospital Affiliation Ccn 1 100220
Hospital Affiliation Lbn 1 GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM
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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