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1215121033
DOUGLAS R BANNING, D.O.
TULSA, OK
NPI
1215121033
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Entity Type
Organization
Authorized Contact
DOUGLAS R BANNING
Physician
918-902-6678
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 3104)
Enumeration Date
2007-09-05
Last Update Date
2008-04-24
Business Address
DOUGLAS R BANNING, D.O.
744 W 9TH ST
TULSA, OK 74127-9020
Phone number: 918-902-6678
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Mailing Address
DOUGLAS R BANNING, D.O.
PO BOX 35009
TULSA, OK 74153-0009
Phone number: 918-902-6678
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