Individual provider · NPI-1

Eric Michael Bankert, D.O.

Pediatrics, Sports Medicine · New Orleans, LA

NPI number1073993911
StatusActive
Last updated in NPPESAug 30, 2019

Details

NPI
1073993911
Entity type
Individual (NPI-1)
Name
Eric Michael Bankert
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 5, 2015
Last updated
Aug 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080S0010X Pediatrics, Sports Medicine320811LAYes
208000000X PediatricsLL37644SC

Practice location

200 Henry Clay Ave
New Orleans, LA 70118-5720

Phone 504-896-9315

Mailing address

200 Henry Clay Ave
New Orleans, LA 70118-5720

Phone 504-896-9315

Other practice locations

701 Grove Rd
Balcony Suite 5
Greenville, SC 29605-4210

Phone 864-455-7895 · Fax 864-455-7807

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