CLINT D BANNING

ASANTE THREE RIVERS MEDICAL CENTER LLC

Dr CLINT D BANNING is a male medical professional, specializing in Nurse Practitioner. He graduated in 2009.

Contact

ASANTE THREE RIVERS MEDICAL CENTER LLC

500 SW RAMSEY AVE
GRANTS PASS
OR
975275554

Tel: 5414727000

CLINT D BANNING Information

Npi 1629307533
Pac Id 3971797424
Professional Enrollment Id I20101028001551
Last Name BANNING
First Name CLINT
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ASANTE THREE RIVERS MEDICAL CENTER LLC
Group Practice Pac Id 9931197993
Number Of Group Practice Members 30
Line 1 Street Address 500 SW RAMSEY AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRANTS PASS
State OR
Zip Code 975275554
Phone Number 5414727000
Hospital Affiliation Ccn 1 380002
Hospital Affiliation Lbn 1 ASANTE THREE RIVERS MEDICAL CENTER
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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