| NPI | 1124125497 |
|---|---|
| Former Legal Business Name | JOSEPH C BANIS JR, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA PRESCOTT Owner/ Provider 502-589-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-07-16 |