Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC005844 | PA |
NPI | 1033187240 |
---|---|
Provider Name | Sarah Ann Banks |
First Address | Hanover, PA 17331-1587 |
Second Address | Hanover, PA 17331-1587 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 09/01/2014 |