Stephen Mitchell Bannar MD

NPI 1093706681 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1093706681
Gender Male
Enumeration Date 11/02/2005
Last Updated 07/16/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1139 3RD ST
SOUTH LAKE TAHOE CA, 96150-3465, US
Phone (530) 541-3100
Fax (530) 541-3016
Business Location
1111 EMERALD BAY RD
SOUTH LAKE TAHOE CA, 96150-6207, US
Phone (530) 543-5659
Fax (530) 541-8723
Toxanomy
Taxonomy Code 207XX0005X
License State Nevada
License Number 7649
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According to our database, Dr. Stephen Mitchell Bannar MD NPI is 1093706681, taxonomy code is 207XX0005X and license number is 7649, license state is located at Nevada. Stephen Mitchell Bannar MD physically located at 1139 3rd St, South Lake Tahoe CA, 96150-3465. NPI Number Stephen Mitchell Bannar MD has the Individual type.

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1093706681 NPI number is provided on an as is basis without warranty of any kind. 1093706681 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Mitchell Bannar MD are for informational purposes only.