JASON DAVID BANISTER

PADUCAH, KY
NPI1336218031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  32967)
Enumeration Date2006-11-07
Last Update Date2014-11-25
Business Address
Dr. JASON DAVID BANISTER MD
225 MEDICAL CENTER DR STE 205
PADUCAH, KY 42003-7907
Phone number: 270-441-4462
Mailing Address
Dr. JASON DAVID BANISTER MD
PO BOX 636961
CINCINNATI, OH 45263-6961
Phone number: 513-981-5130
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