Individual provider · NPI-1

Daniel Edward Banach, MD

Family Medicine · Prattville, AL

NPI number1114913787
StatusActive
Last updated in NPPESAug 12, 2010

Details

NPI
1114913787
Entity type
Individual (NPI-1)
Name
Mr. Daniel Edward Banach
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2005
Last updated
Aug 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineAL23409ALYes

Practice location

204 Medical Center Ct
Prattville, AL 36066-7288

Phone 334-361-3090 · Fax 334-361-2090

Mailing address

204 Medical Center Ct
Prattville, AL 36066-7288

Phone 334-361-3090 · Fax 334-361-2090

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