MICHAEL GRIDLEY BANNON

DALLAS, TX
NPI1619965696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: TX  k5796)
Enumeration Date2005-10-12
Last Update Date2020-06-23
Business Address
MICHAEL GRIDLEY BANNON m.d.
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 214-696-3540
Mailing Address
MICHAEL GRIDLEY BANNON m.d.
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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