Brandon Lee Banks
Peer Specialist in Edmond, OK. Individual provider (NPI-1).
NPI number1083497671
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1083497671
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon Lee Banks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
2717 Edgewood DrEdmond, OK 73013-5260
Phone 580-291-0699
Mailing address
2717 Edgewood DrEdmond, OK 73013-5260
Phone 580-291-0699
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All 78 Peer Specialist providers in Edmond · All 5,217 providers in Edmond
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