NPI 1336359744

Andrew R Banker, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Bossier City, LA

Practice location

Address: 2250 Hospital Dr Suite 132, Bossier City, LA 71111-2167
Phone: (318) 747-5812
Fax: (318) 747-5841

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6203 (LA)

Other Oral & Maxillofacial Surgery providers in Louisiana →

Registry record

NPI: 1336359744
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 9 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.